| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.79 | $213.80 | $630.96 | |
Aetna
| Professional | $10.00 | $23.99 | $100.00 | |
CareFirst
| Professional | $13.18 | $14.45 | $15.85 | |
Cigna
| Professional | $10.72 | $13.18 | $23.44 | |
Kaiser Permanente
| Professional | $12.59 | $14.79 | $19.95 | |
United
| Professional | $9.33 | $13.49 | $22.39 | |
Wellpoint
| Professional | $9.77 | $15.49 | $19.05 |