| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.38 | $22.20 | $22.20 | |
CareFirst
| Professional | $23.68 | $23.68 | $27.00 | |
Cigna
| Professional | $15.69 | $15.69 | $19.23 | |
Kaiser Permanente
| Professional | $29.60 | $35.52 | $56.48 | |
United
| Professional | $13.02 | $14.66 | $24.67 | |
Wellpoint
| Professional | $14.80 | $14.80 | $14.80 |