| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.39 | $49.42 | $201.18 | |
CareFirst
| Professional | $55.43 | $55.43 | $78.16 | |
Cigna
| Professional | $47.32 | $72.54 | $148.02 | |
Kaiser Permanente
| Professional | $43.00 | $54.31 | $82.45 | |
United
| Professional | $39.82 | $61.36 | $90.17 | |
Wellpoint
| Professional | $47.63 | $47.63 | $67.89 |