| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.20 | $82.94 | $411.01 | |
Aetna
| Professional | $45.41 | $66.64 | $101.50 | |
CareFirst
| Professional | $59.00 | $59.00 | $59.00 | |
Cigna
| Facility | $84.33 | $88.85 | $88.85 | |
Cigna
| Professional | $64.86 | $64.86 | $88.85 | |
Kaiser Permanente
| Professional | $77.67 | $110.95 | $159.77 | |
United
| Professional | $46.91 | $55.35 | $88.23 | |
Wellpoint
| Professional | $66.50 | $66.50 | $77.67 |