| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.07 | $41.07 | $41.38 | |
Aetna
| Professional | $27.53 | $36.60 | $52.58 | |
CareFirst
| Professional | $55.08 | $55.08 | $55.08 | |
Cigna
| Facility | $57.67 | $57.67 | $57.67 | |
Cigna
| Professional | $42.10 | $42.10 | $57.67 | |
Kaiser Permanente
| Professional | $38.97 | $55.67 | $83.51 | |
United
| Professional | $40.72 | $49.22 | $75.81 | |
Wellpoint
| Professional | $38.97 | $54.13 | $54.36 |