| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.67 | $25.83 | $74.14 | |
CareFirst
| Professional | $30.32 | $30.32 | $42.75 | |
Cigna
| Professional | $23.04 | $32.44 | $71.31 | |
Kaiser Permanente
| Professional | $21.33 | $27.52 | $40.74 | |
United
| Professional | $19.98 | $27.53 | $43.42 | |
Wellpoint
| Professional | $19.60 | $27.52 | $34.86 |