| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.67 | $43.65 | $102.33 | |
CareFirst
| Professional | $35.48 | $40.74 | $50.12 | |
Cigna
| Professional | $0.56 | $27.54 | $81.28 | |
Kaiser Permanente
| Professional | $53.70 | $60.26 | $79.43 | |
United
| Professional | $33.11 | $43.65 | $83.18 | |
Wellpoint
| Professional | $44.67 | $72.44 | $81.28 |