| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.97 | $26.32 | $26.36 | |
CareFirst
| Professional | $28.07 | $31.58 | $40.11 | |
Cigna
| Professional | $19.30 | $26.98 | $86.11 | |
Kaiser Permanente
| Professional | $35.09 | $42.11 | $66.95 | |
United
| Professional | $15.79 | $20.05 | $31.93 | |
Wellpoint
| Professional | $17.55 | $34.45 | $34.45 |