| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.44 | $43.44 | $43.44 | |
Aetna
| Professional | $37.51 | $44.85 | $71.64 | |
CareFirst
| Professional | $51.17 | $51.17 | $51.17 | |
Cigna
| Facility | $58.60 | $58.60 | $58.60 | |
Cigna
| Professional | $42.78 | $42.78 | $58.60 | |
Kaiser Permanente
| Professional | $64.16 | $91.65 | $131.97 | |
United
| Professional | $37.84 | $45.73 | $72.89 | |
Wellpoint
| Professional | $50.27 | $50.27 | $64.16 |