| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.75 | $25.89 | $29.27 | |
CareFirst
| Professional | $23.13 | $23.13 | $32.61 | |
Cigna
| Professional | $33.06 | $33.06 | $33.06 | |
Kaiser Permanente
| Professional | $22.41 | $27.39 | $37.35 | |
United
| Professional | $20.64 | $28.26 | $45.20 | |
Wellpoint
| Professional | $30.00 | $30.00 | $30.00 |