| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.98 | $20.89 | $43.65 | |
CareFirst
| Professional | $16.60 | $20.89 | $23.99 | |
Cigna
| Professional | $0.28 | $14.13 | $38.02 | |
Kaiser Permanente
| Professional | $27.54 | $30.90 | $41.69 | |
United
| Professional | $15.49 | $20.89 | $41.69 | |
Wellpoint
| Professional | $22.39 | $38.02 | $42.66 |