| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.20 | $24.03 | $43.52 | |
CareFirst
| Professional | $18.07 | $18.07 | $22.96 | |
Cigna
| Professional | $15.57 | $23.41 | $44.07 | |
Kaiser Permanente
| Professional | $25.08 | $31.06 | $57.09 | |
United
| Facility | $150.00 | $150.00 | $150.00 | |
United
| Professional | $22.77 | $30.26 | $58.20 | |
Wellpoint
| Professional | $17.80 | $23.24 | $28.90 |