| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.89 | $34.93 | $40.85 | |
CareFirst
| Professional | $30.89 | $30.89 | $43.55 | |
Cigna
| Professional | $48.89 | $48.89 | $58.58 | |
Kaiser Permanente
| Professional | $34.20 | $41.80 | $57.00 | |
United
| Professional | $24.92 | $34.83 | $54.14 | |
Wellpoint
| Professional | $34.61 | $34.61 | $34.61 |