| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.92 | $72.48 | $103.49 | |
CareFirst
| Professional | $82.07 | $82.07 | $82.07 | |
Cigna
| Professional | $58.58 | $75.53 | $90.22 | |
Kaiser Permanente
| Professional | $67.45 | $77.59 | $103.25 | |
United
| Facility | $82.60 | $82.60 | $82.60 | |
United
| Professional | $59.87 | $75.94 | $126.45 | |
Wellpoint
| Professional | $63.22 | $78.20 | $101.18 |