| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.09 | $32.50 | $39.31 | |
CareFirst
| Professional | $35.38 | $39.31 | $50.32 | |
Cigna
| Professional | $20.83 | $27.93 | $113.50 | |
Kaiser Permanente
| Professional | $39.31 | $47.17 | $58.97 | |
United
| Professional | $16.51 | $18.77 | $31.43 | |
Wellpoint
| Professional | $19.66 | $31.25 | $31.25 |