| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.25 | $18.75 | $18.75 | |
CareFirst
| Professional | $20.00 | $20.00 | $22.80 | |
Cigna
| Professional | $13.25 | $13.25 | $14.63 | |
Kaiser Permanente
| Professional | $25.00 | $30.00 | $37.50 | |
United
| Professional | $10.50 | $11.25 | $22.50 | |
Wellpoint
| Professional | $12.50 | $12.50 | $12.50 |