| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.64 | $40.64 | $40.64 | |
Aetna
| Professional | $40.64 | $56.58 | $83.67 | |
CareFirst
| Professional | $47.65 | $47.65 | $47.65 | |
Cigna
| Professional | $34.15 | $34.15 | $34.15 | |
Kaiser Permanente
| Professional | $83.72 | $108.00 | $134.02 | |
United
| Professional | $35.50 | $41.77 | $62.17 | |
Wellpoint
| Professional | $34.51 | $34.51 | $34.51 |