| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.50 | $38.59 | $53.54 | |
CareFirst
| Professional | $51.45 | $56.60 | $225.70 | |
Cigna
| Professional | $27.27 | $36.64 | $262.12 | |
Kaiser Permanente
| Professional | $51.45 | $61.74 | $77.18 | |
United
| Professional | $21.61 | $23.15 | $46.31 | |
Wellpoint
| Professional | $25.73 | $40.90 | $40.90 |