| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $22.39 | $44.25 | |
CareFirst
| Professional | $24.35 | $24.35 | $24.35 | |
Cigna
| Professional | $37.45 | $39.33 | $54.23 | |
Kaiser Permanente
| Professional | $20.66 | $23.76 | $30.99 | |
United
| Professional | $17.77 | $26.81 | $60.21 | |
Wellpoint
| Professional | $18.14 | $18.14 | $23.76 |