| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.01 | $39.01 | $39.53 | |
CareFirst
| Professional | $42.70 | $47.44 | $64.52 | |
Cigna
| Professional | $27.94 | $60.71 | $75.89 | |
Kaiser Permanente
| Professional | $52.71 | $65.89 | $79.06 | |
United
| Professional | $22.14 | $28.99 | $47.97 | |
Wellpoint
| Professional | $4.97 | $9.22 | $11.82 |