| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.38 | $48.38 | $94.58 | |
Aetna
| Professional | $47.53 | $47.53 | $58.63 | |
CareFirst
| Professional | $47.52 | $47.52 | $48.38 | |
Cigna
| Professional | $47.52 | $47.52 | $60.53 | |
Kaiser Permanente
| Professional | $47.53 | $47.53 | $103.59 | |
United
| Professional | $47.53 | $47.53 | $53.99 | |
Wellpoint
| Professional | $49.30 | $49.30 | $49.30 |