| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.51 | $19.57 | $24.94 | |
CareFirst
| Professional | $20.30 | $22.83 | $28.41 | |
Cigna
| Professional | $13.82 | $16.61 | $61.97 | |
Kaiser Permanente
| Professional | $25.37 | $29.18 | $38.06 | |
United
| Professional | $15.22 | $20.30 | $38.06 | |
Wellpoint
| Professional | $12.69 | $12.69 | $20.97 |