| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.31 | $21.31 | $21.31 | |
Aetna
| Professional | $21.31 | $29.66 | $50.45 | |
CareFirst
| Professional | $24.98 | $24.98 | $24.98 | |
Cigna
| Professional | $17.91 | $17.91 | $17.91 | |
Kaiser Permanente
| Professional | $43.90 | $56.63 | $70.27 | |
United
| Professional | $19.22 | $21.90 | $31.87 | |
Wellpoint
| Professional | $24.77 | $24.77 | $24.77 |