| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.55 | $48.23 | $56.73 | |
Aetna
| Professional | $31.21 | $48.83 | $110.25 | |
Aetna
| Professional | 25 | $35.00 | $91.58 | $136.00 |
CareFirst
| Professional | $33.99 | $39.43 | $60.16 | |
Cigna
| Professional | $36.61 | $53.79 | $86.00 | |
Kaiser Permanente
| Professional | $47.15 | $59.56 | $76.72 | |
United
| Professional | $29.64 | $45.40 | $84.37 | |
Wellpoint
| Professional | $49.63 | $52.51 | $74.45 |