| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.70 | $37.19 | $43.97 | |
CareFirst
| Professional | $49.09 | $54.55 | $69.28 | |
Cigna
| Professional | $27.09 | $39.04 | $121.53 | |
Kaiser Permanente
| Professional | $49.59 | $59.51 | $94.62 | |
United
| Professional | $22.32 | $28.41 | $45.13 | |
Wellpoint
| Professional | $24.80 | $48.67 | $48.67 |