| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.28 | $57.28 | $71.54 | |
Aetna
| Professional | $28.50 | $44.17 | $63.54 | |
CareFirst
| Professional | $51.81 | $51.81 | $72.53 | |
Cigna
| Professional | $33.65 | $52.99 | $103.68 | |
Kaiser Permanente
| Professional | $41.46 | $56.86 | $84.83 | |
United
| Professional | $32.54 | $43.81 | $73.05 | |
Wellpoint
| Professional | $51.63 | $73.34 | $91.86 |