| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.00 | $40.56 | $75.00 | |
CareFirst
| Professional | $15.38 | $15.38 | $15.38 | |
Cigna
| Professional | $27.59 | $32.54 | $34.24 | |
Kaiser Permanente
| Professional | $23.76 | $27.32 | $35.64 | |
United
| Professional | $15.46 | $21.55 | $35.40 | |
Wellpoint
| Professional | $27.32 | $27.32 | $27.32 |