| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.79 | $38.29 | $65.63 | |
CareFirst
| Professional | $40.86 | $40.86 | $52.28 | |
Cigna
| Professional | $27.07 | $36.38 | $147.55 | |
Kaiser Permanente
| Professional | $51.07 | $61.28 | $76.61 | |
United
| Professional | $21.45 | $23.49 | $44.94 | |
Wellpoint
| Professional | $25.54 | $40.60 | $40.60 |