| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.90 | $31.32 | $68.90 | |
CareFirst
| Professional | $31.00 | $33.51 | $38.20 | |
Cigna
| Professional | $22.97 | $32.89 | $103.01 | |
Kaiser Permanente
| Professional | $41.76 | $52.20 | $62.64 | |
United
| Professional | $16.77 | $20.88 | $38.00 | |
Wellpoint
| Professional | $20.88 | $40.98 | $40.98 |