| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.72 | $47.82 | $75.73 | |
Aetna
| Professional | $11.94 | $14.32 | $17.51 | |
CareFirst
| Professional | $14.33 | $18.14 | $34.68 | |
Cigna
| Facility | $8.44 | $10.99 | $20.60 | |
Cigna
| Professional | $8.44 | $16.89 | $22.72 | |
Kaiser Permanente
| Professional | $15.92 | $19.89 | $23.88 | |
United
| Professional | $8.86 | $13.33 | $22.13 | |
Wellpoint
| Professional | $7.86 | $15.61 | $15.61 |