| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.70 | $25.70 | $25.70 | |
Aetna
| Professional | $7.08 | $12.02 | $21.88 | |
CareFirst
| Professional | $24.55 | $27.54 | $31.62 | |
Cigna
| Professional | $21.38 | $21.38 | $21.38 | |
Kaiser Permanente
| Professional | $18.20 | $25.70 | $30.90 | |
United
| Facility | $22.91 | $33.88 | $48.98 | |
United
| Professional | $8.51 | $13.18 | $26.30 | |
Wellpoint
| Professional | $25.70 | $36.31 | $40.74 |