| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.29 | $19.55 | $24.26 | |
CareFirst
| Professional | $23.46 | $26.07 | $38.00 | |
Cigna
| Professional | $14.35 | $20.50 | $64.38 | |
Kaiser Permanente
| Professional | $26.07 | $32.59 | $49.74 | |
United
| Professional | $11.47 | $15.64 | $22.94 | |
Wellpoint
| Professional | $13.04 | $25.58 | $25.58 |