| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.50 | $93.28 | $93.28 | |
Aetna
| Professional | 52 | $22.81 | $22.81 | $22.81 |
CareFirst
| Professional | $59.90 | $59.90 | $59.90 | |
Cigna
| Professional | $55.95 | $55.95 | $90.00 | |
Kaiser Permanente
| Professional | $65.63 | $84.66 | $98.45 | |
United
| Professional | $35.51 | $54.49 | $146.36 | |
Wellpoint
| Professional | $75.47 | $117.59 | $117.59 |