| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.73 | $65.73 | $65.73 | |
Aetna
| Professional | $65.63 | $65.63 | $88.08 | |
CareFirst
| Professional | $65.62 | $65.62 | $65.72 | |
Cigna
| Professional | $65.63 | $65.63 | $83.58 | |
Kaiser Permanente
| Professional | $65.63 | $65.63 | $69.08 | |
United
| Professional | $65.63 | $65.63 | $76.76 | |
Wellpoint
| Professional | $64.06 | $64.06 | $64.06 |