| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.51 | $69.02 | $93.66 | |
Aetna
| Professional | $14.58 | $20.64 | $30.93 | |
CareFirst
| Professional | $19.07 | $19.07 | $22.92 | |
Cigna
| Facility | $12.60 | $21.22 | $21.22 | |
Cigna
| Professional | $18.04 | $18.04 | $26.73 | |
Kaiser Permanente
| Professional | $23.47 | $30.18 | $45.03 | |
United
| Professional | $12.70 | $16.73 | $25.21 | |
Wellpoint
| Professional | $15.93 | $15.93 | $21.01 |