| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.56 | $131.35 | $599.02 | |
Aetna
| Professional | $3.74 | $18.39 | $27.90 | |
CareFirst
| Professional | $120.12 | $120.12 | $120.12 | |
Cigna
| Professional | $17.32 | $17.32 | $17.32 | |
Kaiser Permanente
| Professional | $20.70 | $26.23 | $47.77 | |
United
| Professional | $20.38 | $20.38 | $20.89 | |
Wellpoint
| Professional | $81.23 | $81.23 | $81.23 |