| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.50 | $84.50 | $84.50 | |
Aetna
| Professional | $45.19 | $50.55 | $68.34 | |
CareFirst
| Professional | $51.74 | $57.49 | $69.56 | |
Cigna
| Professional | $43.54 | $69.80 | $129.93 | |
Kaiser Permanente
| Professional | $37.09 | $53.41 | $75.75 | |
United
| Professional | $41.21 | $56.11 | $98.67 | |
Wellpoint
| Professional | $44.50 | $58.07 | $72.62 |