| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.75 | $36.18 | $43.42 | |
CareFirst
| Professional | $38.50 | $38.59 | $43.99 | |
Cigna
| Professional | $25.03 | $31.63 | $118.31 | |
Kaiser Permanente
| Professional | $48.24 | $60.30 | $72.36 | |
United
| Professional | $20.26 | $21.71 | $38.57 | |
Wellpoint
| Professional | $24.12 | $38.35 | $38.35 |