| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.52 | $49.92 | $122.52 | |
CareFirst
| Professional | $27.40 | $35.08 | $40.09 | |
Cigna
| Professional | $25.46 | $54.41 | $111.17 | |
Kaiser Permanente
| Professional | $58.51 | $77.81 | $135.63 | |
United
| Professional | $45.80 | $64.30 | $113.09 | |
Wellpoint
| Professional | $49.21 | $67.29 | $83.07 |