| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.65 | $24.02 | $42.18 | |
Aetna
| Professional | $36.85 | $37.74 | $44.22 | |
CareFirst
| Professional | $11.52 | $11.52 | $11.52 | |
Cigna
| Professional | $37.74 | $37.74 | $37.74 | |
Kaiser Permanente
| Professional | $55.79 | $80.34 | $173.06 | |
United
| Professional | $37.00 | $37.00 | $44.38 | |
Wellpoint
| Professional | $46.68 | $46.68 | $46.68 |