| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.11 | $40.83 | $118.96 | |
CareFirst
| Professional | $29.00 | $48.94 | $62.15 | |
Cigna
| Professional | $26.34 | $53.63 | $119.68 | |
Kaiser Permanente
| Professional | $27.93 | $36.03 | $74.59 | |
United
| Professional | $35.36 | $49.82 | $85.69 | |
Wellpoint
| Professional | $27.93 | $27.93 | $39.08 |