| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.79 | $306.94 | $732.89 | |
Aetna
| Professional | $29.88 | $30.60 | $32.86 | |
CareFirst
| Professional | $28.80 | $28.80 | $28.80 | |
Cigna
| Professional | $30.60 | $30.60 | $30.60 | |
Kaiser Permanente
| Professional | $29.07 | $34.20 | $40.93 | |
United
| Professional | $30.00 | $30.00 | $36.00 | |
Wellpoint
| Professional | $244.63 | $244.63 | $244.63 |