| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.06 | $224.53 | $444.56 | |
Aetna
| Professional | $4.86 | $4.90 | $6.36 | |
CareFirst
| Professional | $4.84 | $4.84 | $4.97 | |
Cigna
| Professional | $4.86 | $4.86 | $6.18 | |
Kaiser Permanente
| Professional | $4.86 | $4.86 | $11.69 | |
United
| Professional | $4.86 | $4.86 | $5.15 | |
Wellpoint
| Professional | $4.88 | $4.88 | $4.88 |