| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.39 | $73.39 | $73.39 | |
Aetna
| Professional | $71.52 | $72.23 | $88.94 | |
CareFirst
| Professional | $71.52 | $71.52 | $73.38 | |
Cigna
| Professional | $71.52 | $71.52 | $91.09 | |
Kaiser Permanente
| Professional | $71.52 | $71.52 | $192.29 | |
United
| Professional | $71.52 | $71.52 | $75.81 | |
Wellpoint
| Professional | $73.03 | $73.03 | $73.03 |