| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $39.81 | $53.70 | |
Aetna
| Professional | $25.12 | $34.67 | $64.57 | |
CareFirst
| Professional | $30.90 | $33.88 | $46.77 | |
Cigna
| Professional | $28.18 | $43.65 | $81.28 | |
Kaiser Permanente
| Professional | $25.12 | $42.66 | $61.66 | |
United
| Facility | $35.48 | $48.98 | $69.18 | |
United
| Professional | $23.99 | $38.02 | $63.10 | |
Wellpoint
| Professional | $52.48 | $72.44 | $81.28 |