| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.11 | $74.11 | $74.11 | |
Aetna
| Professional | $28.01 | $39.00 | $58.50 | |
CareFirst
| Professional | $36.65 | $36.65 | $36.65 | |
Cigna
| Professional | $31.73 | $31.73 | $31.73 | |
Kaiser Permanente
| Professional | $57.71 | $74.45 | $91.74 | |
United
| Professional | $27.50 | $28.79 | $45.83 | |
Wellpoint
| Professional | $33.57 | $33.57 | $49.05 |