| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.21 | $70.29 | $150.29 | |
CareFirst
| Professional | $27.95 | $33.43 | $111.15 | |
Cigna
| Professional | $26.71 | $66.48 | $132.91 | |
Kaiser Permanente
| Professional | $80.97 | $99.00 | $147.46 | |
United
| Professional | $59.90 | $74.20 | $121.01 | |
Wellpoint
| Professional | $33.95 | $112.55 | $125.06 |