| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.28 | $57.28 | $68.36 | |
Aetna
| Professional | $40.79 | $47.59 | $60.95 | |
CareFirst
| Professional | $53.35 | $53.35 | $66.69 | |
Cigna
| Professional | $42.23 | $65.92 | $109.15 | |
Kaiser Permanente
| Professional | $39.42 | $54.58 | $80.65 | |
United
| Professional | $46.77 | $60.57 | $116.58 | |
Wellpoint
| Professional | $51.97 | $51.97 | $87.44 |