| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.09 | $83.36 | $294.77 | |
Aetna
| Professional | $22.28 | $37.50 | $51.75 | |
CareFirst
| Professional | $33.71 | $33.71 | $33.71 | |
Cigna
| Professional | $25.50 | $25.50 | $25.50 | |
Kaiser Permanente
| Professional | $31.92 | $41.31 | $56.33 | |
United
| Professional | $19.51 | $27.97 | $65.30 | |
Wellpoint
| Professional | $29.38 | $29.38 | $29.38 |