| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.68 | $29.68 | $29.68 | |
Aetna
| Professional | $29.68 | $41.32 | $93.25 | |
CareFirst
| Professional | $34.78 | $34.78 | $34.78 | |
Cigna
| Professional | $24.95 | $24.95 | $24.95 | |
Kaiser Permanente
| Professional | $61.14 | $78.87 | $97.88 | |
United
| Professional | $26.76 | $30.50 | $44.11 | |
Wellpoint
| Professional | $45.92 | $45.92 | $45.92 |