| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.68 | $62.06 | $113.52 | |
CareFirst
| Professional | $18.62 | $18.62 | $22.60 | |
Cigna
| Professional | $16.73 | $57.80 | $118.51 | |
Kaiser Permanente
| Professional | $75.23 | $101.57 | $145.10 | |
United
| Professional | $46.41 | $67.98 | $113.96 | |
Wellpoint
| Professional | $21.93 | $60.25 | $96.73 |