| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.58 | $30.53 | $42.33 | |
CareFirst
| Professional | $31.80 | $32.56 | $37.11 | |
Cigna
| Professional | $19.82 | $25.73 | $99.80 | |
Kaiser Permanente
| Professional | $40.70 | $50.88 | $61.05 | |
United
| Professional | $23.45 | $29.32 | $67.95 | |
Wellpoint
| Professional | $20.35 | $32.36 | $32.36 |