| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.46 | $80.70 | $96.37 | |
Aetna
| Professional | $20.09 | $37.15 | $70.98 | |
CareFirst
| Professional | $45.00 | $45.00 | $45.00 | |
Cigna
| Professional | $19.36 | $19.36 | $19.36 | |
Kaiser Permanente
| Professional | $32.00 | $36.00 | $44.00 | |
Wellpoint
| Professional | $21.25 | $21.25 | $21.25 |