| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.18 | $2,422.13 | $6,637.57 | |
Aetna
| Professional | $31.08 | $31.09 | $37.79 | |
CareFirst
| Professional | $20.39 | $20.39 | $20.88 | |
Cigna
| Professional | $20.41 | $20.41 | $24.38 | |
Kaiser Permanente
| Professional | $20.41 | $20.41 | $54.00 | |
United
| Professional | $34.68 | $34.68 | $36.76 | |
Wellpoint
| Professional | $19.82 | $19.82 | $19.82 |