| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.48 | $55.78 | $78.06 | |
CareFirst
| Professional | $65.53 | $65.53 | $65.53 | |
Cigna
| Professional | $89.09 | $101.08 | $106.97 | |
Kaiser Permanente
| Professional | $32.18 | $37.01 | $48.27 | |
United
| Professional | $32.86 | $56.49 | $93.40 | |
Wellpoint
| Professional | $32.18 | $32.18 | $37.01 |