| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.18 | $46.36 | $170.14 | |
Aetna
| Professional | $31.90 | $36.14 | $45.49 | |
CareFirst
| Professional | $37.34 | $37.34 | $42.94 | |
Cigna
| Professional | $33.59 | $45.65 | $75.30 | |
Kaiser Permanente
| Professional | $27.23 | $40.95 | $68.42 | |
United
| Professional | $29.86 | $42.36 | $74.42 | |
Wellpoint
| Professional | $42.18 | $42.18 | $59.40 |