| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.73 | $19.67 | $21.50 | |
CareFirst
| Professional | $20.38 | $20.38 | $28.61 | |
Cigna
| Professional | $13.90 | $26.82 | $76.66 | |
Kaiser Permanente
| Professional | $26.22 | $31.46 | $39.33 | |
United
| Professional | $15.73 | $20.98 | $50.08 | |
Wellpoint
| Professional | $13.11 | $13.11 | $22.32 |