| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.99 | $18.80 | $69.88 | |
CareFirst
| Professional | $18.23 | $20.26 | $25.33 | |
Cigna
| Professional | $11.12 | $15.58 | $49.90 | |
Kaiser Permanente
| Professional | $20.26 | $23.30 | $30.39 | |
United
| Professional | $12.16 | $18.53 | $39.24 | |
Wellpoint
| Professional | $10.13 | $10.13 | $19.88 |