| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.74 | $36.74 | $36.74 | |
Aetna
| Professional | $36.77 | $36.77 | $49.23 | |
CareFirst
| Professional | $36.74 | $36.74 | $36.76 | |
Cigna
| Professional | $36.77 | $36.77 | $46.82 | |
Kaiser Permanente
| Professional | $36.77 | $36.77 | $41.86 | |
United
| Professional | $36.77 | $36.77 | $46.51 | |
Wellpoint
| Professional | $34.67 | $34.67 | $34.67 |