| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.42 | $112.27 | $204.15 | |
Aetna
| Professional | $53.10 | $56.42 | $63.36 | |
CareFirst
| Professional | $7.73 | $7.73 | $7.73 | |
Cigna
| Professional | $56.42 | $56.42 | $56.42 | |
Kaiser Permanente
| Professional | $53.60 | $63.06 | $102.11 | |
United
| Professional | $56.50 | $56.50 | $85.46 | |
Wellpoint
| Professional | $59.54 | $59.54 | $59.54 |