| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.57 | $57.95 | $64.61 | |
Aetna
| Professional | $17.75 | $30.57 | $35.00 | |
CareFirst
| Professional | $30.57 | $30.57 | $30.57 | |
Cigna
| Professional | $33.71 | $33.71 | $33.71 | |
Kaiser Permanente
| Professional | $36.00 | $36.00 | $49.11 | |
United
| Professional | $34.17 | $35.97 | $38.61 | |
Wellpoint
| Professional | $34.17 | $34.17 | $34.17 |