| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.76 | $104.31 | $337.56 | |
Aetna
| Professional | $37.31 | $51.66 | $212.00 | |
CareFirst
| Professional | $49.51 | $52.84 | $58.12 | |
Cigna
| Facility | $72.00 | $105.10 | $180.25 | |
Cigna
| Professional | $37.86 | $54.08 | $92.87 | |
Kaiser Permanente
| Professional | $62.68 | $76.38 | $106.85 | |
United
| Professional | $46.78 | $63.50 | $74.00 | |
Wellpoint
| Professional | $47.19 | $56.98 | $102.80 |