| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.00 | $10.00 | $44.28 | |
CareFirst
| Professional | $7.72 | $7.72 | $7.72 | |
Cigna
| Professional | $15.76 | $16.50 | $20.78 | |
Kaiser Permanente
| Professional | $15.14 | $17.41 | $22.71 | |
United
| Professional | $8.75 | $13.30 | $15.85 | |
Wellpoint
| Professional | $17.41 | $17.41 | $17.41 |