| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.79 | $35.79 | $35.79 | |
Aetna
| Professional | $35.79 | $49.83 | $156.00 | |
CareFirst
| Professional | $41.93 | $41.93 | $41.93 | |
Cigna
| Professional | $30.08 | $30.08 | $30.08 | |
Kaiser Permanente
| Professional | $73.73 | $95.11 | $118.03 | |
United
| Professional | $32.27 | $36.79 | $55.72 | |
Wellpoint
| Professional | $41.19 | $41.19 | $41.19 |