| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.88 | $41.69 | $54.95 | |
CareFirst
| Professional | $38.02 | $42.66 | $48.98 | |
Cigna
| Professional | $28.18 | $60.26 | $75.86 | |
Kaiser Permanente
| Professional | $50.12 | $54.95 | $79.43 | |
United
| Facility | $22.39 | $25.12 | $39.81 | |
United
| Professional | $22.39 | $24.55 | $47.86 | |
Wellpoint
| Professional | $9.12 | $11.75 | $79.43 |