| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.02 | $152.76 | $757.07 | |
Aetna
| Professional | $19.92 | $27.73 | $41.60 | |
CareFirst
| Professional | $22.91 | $22.91 | $22.91 | |
Cigna
| Professional | $20.95 | $20.95 | $20.95 | |
Kaiser Permanente
| Professional | $41.04 | $52.12 | $65.23 | |
United
| Professional | $18.48 | $20.47 | $31.55 | |
Wellpoint
| Professional | $18.21 | $18.21 | $34.88 |