| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.83 | $68.75 | $73.56 | |
CareFirst
| Professional | $91.66 | $100.83 | $114.95 | |
Cigna
| Professional | $48.58 | $48.58 | $59.58 | |
Kaiser Permanente
| Professional | $91.66 | $109.99 | $174.89 | |
United
| Professional | $41.25 | $47.66 | $83.41 | |
Wellpoint
| Professional | $45.83 | $45.83 | $45.83 |