| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.33 | $645.65 | $2,137.96 | |
Aetna
| Professional | $25.12 | $47.86 | $109.65 | |
CareFirst
| Professional | $19.95 | $22.39 | $26.30 | |
Cigna
| Professional | $19.05 | $35.48 | $64.57 | |
Kaiser Permanente
| Professional | $44.67 | $60.26 | $104.71 | |
United
| Professional | $23.99 | $33.11 | $60.26 | |
Wellpoint
| Professional | $24.55 | $52.48 | $83.18 |