| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.82 | $56.78 | $486.05 | |
Aetna
| Professional | $11.52 | $28.26 | $169.83 | |
CareFirst
| Professional | $13.77 | $13.77 | $13.77 | |
Cigna
| Professional | $12.38 | $43.70 | $90.39 | |
Kaiser Permanente
| Professional | $48.21 | $57.27 | $81.23 | |
United
| Professional | $40.31 | $59.73 | $107.99 | |
Wellpoint
| Professional | $44.90 | $56.72 | $73.83 |