| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.50 | $35.75 | $49.16 | |
CareFirst
| Professional | $47.25 | $51.98 | $149.81 | |
Cigna
| Professional | $25.04 | $33.56 | $155.27 | |
Kaiser Permanente
| Professional | $47.25 | $56.70 | $70.88 | |
United
| Professional | $19.85 | $21.26 | $42.53 | |
Wellpoint
| Professional | $23.63 | $37.56 | $37.56 |