| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.15 | $26.25 | $31.50 | |
CareFirst
| Professional | $28.00 | $28.00 | $35.56 | |
Cigna
| Professional | $18.55 | $24.85 | $101.21 | |
Kaiser Permanente
| Professional | $35.00 | $42.00 | $52.50 | |
United
| Professional | $14.70 | $17.50 | $31.50 | |
Wellpoint
| Professional | $17.50 | $27.83 | $27.83 |