| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.91 | $33.88 | $46.77 | |
CareFirst
| Professional | $36.31 | $39.81 | $56.23 | |
Cigna
| Professional | $22.91 | $38.90 | $72.44 | |
Kaiser Permanente
| Professional | $33.88 | $45.71 | $61.66 | |
United
| Professional | $18.62 | $30.90 | $57.54 | |
Wellpoint
| Professional | $43.65 | $53.70 | $61.66 |