| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.50 | $35.75 | $48.90 | |
CareFirst
| Professional | $47.00 | $51.70 | $139.76 | |
Cigna
| Professional | $24.91 | $33.31 | $155.27 | |
Kaiser Permanente
| Professional | $47.00 | $56.40 | $70.50 | |
United
| Professional | $19.73 | $21.62 | $37.58 | |
Wellpoint
| Professional | $23.50 | $37.36 | $37.36 |