| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.20 | $23.99 | $67.61 | |
CareFirst
| Professional | $19.50 | $21.88 | $23.44 | |
Cigna
| Professional | $16.98 | $24.55 | $43.65 | |
Kaiser Permanente
| Professional | $25.12 | $28.84 | $41.69 | |
United
| Professional | $17.38 | $21.88 | $38.90 | |
Wellpoint
| Professional | $19.95 | $24.55 | $40.74 |