| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.54 | $39.72 | $55.71 | |
CareFirst
| Professional | $40.90 | $45.44 | $54.98 | |
Cigna
| Professional | $33.24 | $54.72 | $103.05 | |
Kaiser Permanente
| Professional | $28.28 | $40.72 | $57.62 | |
United
| Professional | $30.53 | $43.78 | $86.30 | |
Wellpoint
| Professional | $35.29 | $44.17 | $55.46 |