| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.89 | $56.89 | $80.64 | |
Aetna
| Professional | $25.93 | $45.09 | $67.73 | |
CareFirst
| Professional | $51.44 | $53.50 | $80.29 | |
Cigna
| Professional | $32.79 | $57.28 | $119.84 | |
Kaiser Permanente
| Professional | $41.50 | $63.71 | $97.79 | |
United
| Professional | $34.64 | $45.92 | $77.73 | |
Wellpoint
| Professional | $60.19 | $85.78 | $107.15 |