| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.30 | $118.27 | $265.11 | |
Aetna
| Professional | $15.84 | $34.75 | $148.00 | |
CareFirst
| Professional | $25.75 | $35.09 | $38.14 | |
Cigna
| Facility | $72.00 | $180.25 | $180.25 | |
Cigna
| Professional | $31.27 | $60.00 | $113.94 | |
Kaiser Permanente
| Professional | $43.79 | $52.56 | $73.56 | |
United
| Professional | $27.09 | $50.34 | $60.65 | |
Wellpoint
| Professional | $39.20 | $55.95 | $69.89 |