| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.19 | $284.44 | $336.32 | |
Aetna
| Professional | $28.72 | $41.62 | $57.55 | |
CareFirst
| Professional | $40.29 | $40.29 | $40.29 | |
Cigna
| Facility | $39.47 | $39.47 | $48.77 | |
Cigna
| Professional | $33.56 | $33.56 | $46.45 | |
Kaiser Permanente
| Professional | $46.01 | $65.73 | $94.65 | |
United
| Professional | $23.62 | $32.79 | $51.99 | |
Wellpoint
| Professional | $41.96 | $41.96 | $46.01 |