| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.36 | $38.02 | $48.98 | |
CareFirst
| Professional | $33.88 | $38.02 | $42.66 | |
Cigna
| Professional | $24.55 | $24.55 | $24.55 | |
Kaiser Permanente
| Professional | $46.77 | $53.70 | $70.79 | |
United
| Facility | $19.95 | $19.95 | $35.48 | |
United
| Professional | $19.95 | $21.38 | $38.02 | |
Wellpoint
| Professional | $23.44 | $23.44 | $23.44 |