| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.49 | $44.49 | $44.49 | |
Aetna
| Professional | $44.10 | $44.49 | $3,621.75 | |
CareFirst
| Professional | $44.11 | $44.11 | $44.50 | |
Cigna
| Professional | $44.11 | $44.11 | $56.18 | |
Kaiser Permanente
| Professional | $44.11 | $44.11 | $165.82 | |
United
| Professional | $44.11 | $44.11 | $63.63 | |
Wellpoint
| Professional | $43.80 | $43.80 | $43.80 |