| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.87 | $26.86 | $28.68 | |
CareFirst
| Professional | $36.45 | $36.45 | $52.71 | |
Cigna
| Professional | $14.42 | $19.72 | $57.56 | |
Kaiser Permanente
| Professional | $33.86 | $40.63 | $51.95 | |
Kaiser Permanente
| Professional | 26 | $26.11 | $31.33 | $39.67 |
United
| Professional | $24.16 | $30.84 | $58.29 | |
Wellpoint
| Professional | $35.31 | $41.20 | $49.14 |