| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.20 | $20.89 | $28.84 | |
CareFirst
| Professional | $17.78 | $19.95 | $24.55 | |
Cigna
| Professional | $18.20 | $25.70 | $57.54 | |
Kaiser Permanente
| Professional | $14.13 | $19.95 | $29.51 | |
United
| Professional | $16.98 | $25.12 | $43.65 | |
Wellpoint
| Professional | $15.14 | $24.55 | $33.11 |