| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.50 | $39.50 | $54.16 | |
Aetna
| Professional | $24.44 | $32.85 | $46.52 | |
CareFirst
| Professional | $32.47 | $32.47 | $44.46 | |
Cigna
| Professional | $28.40 | $41.60 | $75.55 | |
Kaiser Permanente
| Professional | $28.99 | $43.91 | $64.51 | |
United
| Professional | $30.74 | $45.40 | $75.16 | |
Wellpoint
| Professional | $39.20 | $55.78 | $69.78 |