| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.11 | $52.11 | $248.14 | |
Aetna
| Professional | $20.04 | $32.57 | $32.57 | |
CareFirst
| Professional | $34.74 | $34.74 | $39.60 | |
Cigna
| Professional | $23.02 | $23.02 | $23.02 | |
Kaiser Permanente
| Professional | $43.43 | $52.12 | $65.15 | |
United
| Professional | $18.23 | $19.54 | $39.09 | |
Wellpoint
| Professional | $21.72 | $21.72 | $21.72 |