| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.97 | $24.97 | $24.97 | |
Aetna
| Professional | $31.54 | $43.70 | $148.41 | |
CareFirst
| Professional | $29.27 | $29.27 | $29.27 | |
Cigna
| Professional | $20.99 | $20.99 | $20.99 | |
Kaiser Permanente
| Professional | $51.45 | $66.37 | $82.33 | |
United
| Professional | $22.53 | $25.66 | $37.34 | |
Wellpoint
| Professional | $46.48 | $46.48 | $46.48 |