| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.40 | $61.40 | $77.64 | |
Aetna
| Professional | $43.84 | $54.43 | $69.05 | |
CareFirst
| Professional | $56.51 | $57.13 | $71.40 | |
Cigna
| Professional | $45.46 | $70.78 | $125.23 | |
Kaiser Permanente
| Professional | $45.16 | $66.43 | $104.28 | |
United
| Professional | $52.39 | $81.52 | $145.04 | |
Wellpoint
| Professional | $56.32 | $79.95 | $100.23 |