| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.68 | $65.93 | $234.10 | |
Aetna
| Professional | $13.33 | $15.15 | $24.94 | |
CareFirst
| Professional | $16.36 | $19.80 | $29.92 | |
Cigna
| Facility | $10.71 | $13.97 | $26.14 | |
Cigna
| Professional | $10.71 | $21.46 | $33.09 | |
Kaiser Permanente
| Professional | $20.20 | $25.25 | $30.30 | |
United
| Professional | $9.09 | $12.12 | $17.05 | |
Wellpoint
| Professional | $7.88 | $10.10 | $19.82 |