| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.40 | $61.40 | $61.40 | |
Aetna
| Professional | $41.95 | $48.17 | $61.10 | |
CareFirst
| Professional | $50.04 | $50.04 | $57.55 | |
Cigna
| Professional | $44.22 | $61.41 | $99.12 | |
Kaiser Permanente
| Professional | $36.70 | $53.83 | $80.73 | |
United
| Professional | $39.09 | $57.23 | $99.73 | |
Wellpoint
| Professional | $43.89 | $61.90 | $78.05 |