| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $43.00 | $10,874.90 | |
Aetna
| Professional | $35.29 | $60.13 | $209.82 | |
CareFirst
| Professional | $40.36 | $55.71 | $70.75 | |
Cigna
| Professional | $38.33 | $76.92 | $234.88 | |
Kaiser Permanente
| Professional | $38.24 | $49.33 | $213.51 | |
United
| Professional | $104.07 | $147.93 | $232.86 | |
Wellpoint
| Professional | $38.24 | $38.24 | $53.76 |