| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.38 | $75.73 | $150.87 | |
CareFirst
| Professional | $45.41 | $45.41 | $45.41 | |
Cigna
| Professional | $130.50 | $138.05 | $177.13 | |
Kaiser Permanente
| Professional | $62.32 | $71.67 | $93.48 | |
United
| Professional | $57.74 | $89.15 | $138.72 | |
Wellpoint
| Professional | $57.37 | $57.37 | $71.67 |