| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.68 | $59.12 | $107.69 | |
CareFirst
| Professional | $18.62 | $18.62 | $54.13 | |
Cigna
| Professional | $16.73 | $55.39 | $112.44 | |
Kaiser Permanente
| Professional | $72.20 | $92.36 | $137.58 | |
United
| Professional | $43.87 | $65.02 | $107.26 | |
Wellpoint
| Professional | $21.93 | $22.33 | $91.72 |