| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.04 | $226.49 | $344.52 | |
Aetna
| Professional | $63.79 | $65.33 | $90.15 | |
CareFirst
| Professional | $15.38 | $15.38 | $15.38 | |
Cigna
| Professional | $65.33 | $65.33 | $65.33 | |
Kaiser Permanente
| Professional | $43.94 | $62.07 | $73.02 | |
United
| Professional | $64.05 | $64.05 | $76.86 | |
Wellpoint
| Professional | $24.86 | $24.86 | $24.86 |