| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.86 | $27.86 | $105.48 | |
Aetna
| Professional | $25.59 | $25.59 | $37.33 | |
CareFirst
| Professional | $25.59 | $25.59 | $27.86 | |
Cigna
| Professional | $25.59 | $25.59 | $32.59 | |
Kaiser Permanente
| Professional | $25.59 | $25.59 | $32.22 | |
United
| Professional | $25.59 | $25.59 | $27.13 | |
Wellpoint
| Professional | $24.56 | $24.56 | $24.56 |