| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.82 | $88.27 | $147.69 | |
Aetna
| Professional | $15.73 | $16.07 | $32.15 | |
CareFirst
| Professional | $16.66 | $19.29 | $26.86 | |
Cigna
| Facility | $12.08 | $15.85 | $31.20 | |
Cigna
| Professional | $12.08 | $19.18 | $35.11 | |
Kaiser Permanente
| Professional | $24.11 | $30.14 | $36.17 | |
United
| Professional | $10.50 | $11.08 | $18.32 | |
Wellpoint
| Professional | $9.40 | $12.06 | $19.17 |