| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.76 | $26.11 | $36.20 | |
CareFirst
| Professional | $31.33 | $34.81 | $39.68 | |
Cigna
| Professional | $19.02 | $25.37 | $85.31 | |
Kaiser Permanente
| Professional | $34.81 | $43.51 | $66.42 | |
United
| Professional | $20.89 | $28.97 | $58.07 | |
Wellpoint
| Professional | $17.41 | $31.53 | $31.53 |