| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.89 | $32.36 | $102.33 | |
CareFirst
| Professional | $20.89 | $22.91 | $31.62 | |
Cigna
| Professional | $20.89 | $35.48 | $63.10 | |
Kaiser Permanente
| Professional | $30.20 | $37.15 | $51.29 | |
United
| Professional | $23.44 | $33.88 | $53.70 | |
Wellpoint
| Professional | $20.89 | $37.15 | $50.12 |