| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.88 | $24.49 | $84.00 | |
CareFirst
| Professional | $26.37 | $27.77 | $39.15 | |
Cigna
| Professional | $20.13 | $28.47 | $62.49 | |
Kaiser Permanente
| Professional | $18.64 | $23.98 | $35.70 | |
United
| Professional | $17.88 | $24.27 | $38.04 | |
Wellpoint
| Professional | $17.11 | $23.98 | $30.45 |