| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.01 | $45.98 | $46.61 | |
CareFirst
| Professional | $67.11 | $74.56 | $101.42 | |
Cigna
| Professional | $32.93 | $71.45 | $89.31 | |
Kaiser Permanente
| Professional | $62.14 | $77.68 | $93.21 | |
United
| Facility | $26.10 | $26.10 | $26.10 | |
United
| Professional | $26.10 | $31.07 | $40.39 | |
Wellpoint
| Professional | $25.21 | $31.92 | $32.33 |