| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.80 | $743.98 | $7,293.52 | |
Aetna
| Professional | $45.31 | $45.31 | $57.92 | |
CareFirst
| Professional | $45.32 | $45.32 | $47.80 | |
Cigna
| Professional | $45.31 | $45.31 | $57.71 | |
Kaiser Permanente
| Professional | $45.31 | $45.31 | $94.29 | |
United
| Professional | $45.31 | $45.31 | $52.36 | |
Wellpoint
| Professional | $46.46 | $46.46 | $46.46 |