| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.31 | $46.77 | $97.72 | |
CareFirst
| Professional | $32.36 | $36.31 | $41.69 | |
Cigna
| Professional | $37.15 | $57.54 | $112.20 | |
Kaiser Permanente
| Professional | $35.48 | $53.70 | $75.86 | |
United
| Facility | $28.18 | $39.81 | $79.43 | |
United
| Professional | $35.48 | $52.48 | $95.50 | |
Wellpoint
| Professional | $28.84 | $67.61 | $75.86 |