| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.29 | $51.31 | $385.00 | |
Aetna
| Professional | $51.31 | $51.31 | $51.31 | |
CareFirst
| Professional | $51.33 | $51.33 | $51.33 | |
Cigna
| Professional | $34.88 | $34.88 | $51.31 | |
Kaiser Permanente
| Professional | $51.31 | $61.57 | $90.66 | |
United
| Professional | $21.55 | $23.09 | $46.69 | |
Wellpoint
| Professional | $51.33 | $51.33 | $51.33 |