| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.94 | $72.76 | $667.90 | |
Aetna
| Professional | $66.43 | $69.22 | $77.36 | |
CareFirst
| Professional | $69.22 | $69.22 | $69.22 | |
Cigna
| Professional | $76.14 | $76.14 | $76.14 | |
Kaiser Permanente
| Professional | $82.00 | $82.00 | $82.00 | |
United
| Professional | $77.36 | $81.43 | $87.42 | |
Wellpoint
| Professional | $77.36 | $77.36 | $77.36 |