| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.18 | $999.49 | $8,816.81 | |
Aetna
| Professional | $31.08 | $31.39 | $4,882.82 | |
CareFirst
| Professional | $19.68 | $19.68 | $19.98 | |
Cigna
| Professional | $19.98 | $19.98 | $23.82 | |
Kaiser Permanente
| Professional | $19.98 | $19.98 | $102.20 | |
United
| Professional | $40.07 | $40.09 | $42.50 | |
Wellpoint
| Professional | $11.55 | $11.55 | $11.55 |