| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.86 | $18.37 | $53.20 | |
CareFirst
| Professional | $22.77 | $22.77 | $22.77 | |
Cigna
| Professional | $34.52 | $36.25 | $46.30 | |
Kaiser Permanente
| Professional | $19.63 | $22.57 | $29.45 | |
United
| Professional | $15.50 | $23.25 | $49.14 | |
Wellpoint
| Professional | $15.11 | $15.11 | $22.57 |