| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.85 | $39.85 | $39.85 | |
Aetna
| Professional | $27.34 | $31.43 | $39.79 | |
CareFirst
| Professional | $33.10 | $33.10 | $38.06 | |
Cigna
| Professional | $28.93 | $39.86 | $64.30 | |
Kaiser Permanente
| Professional | $24.00 | $35.21 | $52.82 | |
United
| Professional | $25.25 | $37.70 | $71.83 | |
Wellpoint
| Professional | $28.71 | $40.49 | $51.05 |