| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.11 | $47.86 | $77.62 | |
CareFirst
| Professional | $35.48 | $39.81 | $45.71 | |
Cigna
| Professional | $35.48 | $58.88 | $112.20 | |
Kaiser Permanente
| Professional | $36.31 | $69.18 | $100.00 | |
United
| Facility | $23.99 | $32.36 | $85.11 | |
United
| Professional | $30.20 | $50.12 | $102.33 | |
Wellpoint
| Professional | $41.69 | $69.18 | $97.72 |