| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.18 | $36.31 | $52.48 | |
CareFirst
| Professional | $32.36 | $36.31 | $39.81 | |
Cigna
| Professional | $21.38 | $29.51 | $79.43 | |
Kaiser Permanente
| Professional | $44.67 | $51.29 | $67.61 | |
United
| Facility | $19.05 | $19.05 | $33.88 | |
United
| Professional | $19.05 | $20.42 | $36.31 | |
Wellpoint
| Professional | $22.39 | $35.48 | $35.48 |