| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.54 | $57.54 | $72.44 | |
Aetna
| Professional | $39.81 | $50.12 | $69.18 | |
CareFirst
| Professional | $48.98 | $53.70 | $72.44 | |
Cigna
| Professional | $45.71 | $67.61 | $114.82 | |
Kaiser Permanente
| Professional | $35.48 | $56.23 | $81.28 | |
United
| Facility | $51.29 | $67.61 | $93.33 | |
United
| Professional | $42.66 | $66.07 | $104.71 | |
Wellpoint
| Professional | $70.79 | $93.33 | $109.65 |