| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.86 | $20.47 | $24.56 | |
CareFirst
| Professional | $21.83 | $21.83 | $24.89 | |
Cigna
| Professional | $14.26 | $17.98 | $66.80 | |
Kaiser Permanente
| Professional | $27.29 | $34.11 | $41.57 | |
United
| Professional | $11.57 | $12.70 | $23.86 | |
Wellpoint
| Professional | $13.65 | $21.70 | $21.70 |