| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.05 | $3,932.75 | $9,324.12 | |
Aetna
| Professional | $27.00 | $27.00 | $30.36 | |
CareFirst
| Professional | $24.06 | $24.06 | $26.13 | |
Cigna
| Professional | $27.00 | $27.00 | $33.28 | |
Kaiser Permanente
| Professional | $27.00 | $27.00 | $81.37 | |
United
| Professional | $27.00 | $27.00 | $28.62 | |
Wellpoint
| Professional | $26.26 | $26.26 | $26.26 |