| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.73 | $67.09 | $89.03 | |
CareFirst
| Professional | $12.52 | $13.12 | $16.66 | |
Cigna
| Professional | $15.49 | $75.26 | $147.91 | |
Kaiser Permanente
| Professional | $80.68 | $104.50 | $170.15 | |
United
| Professional | $64.76 | $92.09 | $169.29 | |
Wellpoint
| Professional | $75.75 | $93.16 | $115.26 |