| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.88 | $43.97 | $52.76 | |
CareFirst
| Professional | $28.00 | $41.03 | $52.11 | |
Cigna
| Professional | $30.46 | $38.46 | $144.06 | |
Kaiser Permanente
| Professional | $58.62 | $70.34 | $87.93 | |
United
| Professional | $16.77 | $26.38 | $51.59 | |
Wellpoint
| Professional | $29.31 | $46.60 | $46.60 |