| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.66 | $61.66 | $77.62 | |
Aetna
| Professional | $42.66 | $53.70 | $72.44 | |
CareFirst
| Professional | $53.70 | $58.88 | $79.43 | |
Cigna
| Professional | $48.98 | $72.44 | $125.89 | |
Kaiser Permanente
| Professional | $38.02 | $58.88 | $95.50 | |
United
| Facility | $47.86 | $63.10 | $95.50 | |
United
| Professional | $46.77 | $69.18 | $114.82 | |
Wellpoint
| Professional | $74.13 | $102.33 | $114.82 |