| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.12 | $46.12 | $46.12 | |
Aetna
| Professional | $30.36 | $60.58 | $96.32 | |
CareFirst
| Professional | $54.05 | $54.05 | $54.05 | |
Cigna
| Professional | $38.77 | $38.77 | $38.77 | |
Kaiser Permanente
| Professional | $95.02 | $122.58 | $152.09 | |
United
| Professional | $41.60 | $47.40 | $72.34 | |
Wellpoint
| Professional | $40.36 | $40.36 | $40.36 |