| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $26.92 | $40.74 | |
Aetna
| Professional | $22.91 | $36.31 | $60.26 | |
CareFirst
| Professional | $33.88 | $38.02 | $58.88 | |
Cigna
| Professional | $33.11 | $53.70 | $91.20 | |
Kaiser Permanente
| Professional | $32.36 | $47.86 | $69.18 | |
United
| Facility | $38.90 | $57.54 | $79.43 | |
United
| Professional | $27.54 | $43.65 | $75.86 | |
Wellpoint
| Professional | $60.26 | $77.62 | $93.33 |