| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $202.67 | $202.67 | $202.67 | |
Aetna
| Professional | $8.31 | $11.57 | $17.36 | |
CareFirst
| Professional | $9.55 | $9.55 | $9.55 | |
Cigna
| Professional | $8.75 | $8.75 | $8.75 | |
Kaiser Permanente
| Professional | $17.11 | $21.73 | $27.21 | |
United
| Professional | $7.70 | $8.53 | $12.85 | |
Wellpoint
| Professional | $7.59 | $7.59 | $14.54 |