| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.67 | $46.77 | $46.77 | |
Aetna
| Professional | $32.36 | $36.31 | $51.29 | |
CareFirst
| Professional | $33.88 | $37.15 | $42.66 | |
Cigna
| Professional | $33.88 | $46.77 | $75.86 | |
Kaiser Permanente
| Professional | $28.18 | $37.15 | $56.23 | |
United
| Facility | $29.51 | $40.74 | $61.66 | |
United
| Professional | $31.62 | $45.71 | $74.13 | |
Wellpoint
| Professional | $42.66 | $57.54 | $63.10 |