| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.93 | $29.60 | $41.81 | |
CareFirst
| Professional | $27.94 | $27.94 | $39.40 | |
Cigna
| Professional | $34.19 | $37.97 | $40.96 | |
Kaiser Permanente
| Professional | $20.18 | $24.66 | $33.63 | |
United
| Professional | $22.00 | $30.42 | $48.37 | |
Wellpoint
| Professional | $11.29 | $11.29 | $11.29 |