| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $15.00 | $28.90 | |
CareFirst
| Professional | $15.38 | $15.38 | $15.38 | |
Cigna
| Professional | $27.59 | $32.54 | $34.24 | |
Kaiser Permanente
| Professional | $21.37 | $24.58 | $32.06 | |
United
| Professional | $14.80 | $20.71 | $36.04 | |
Wellpoint
| Professional | $24.58 | $24.58 | $24.58 |