| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.36 | $60.26 | $194.98 | |
CareFirst
| Professional | $35.48 | $35.48 | $35.48 | |
Cigna
| Professional | $89.13 | $100.00 | $107.15 | |
Kaiser Permanente
| Professional | $35.48 | $40.74 | $77.62 | |
United
| Professional | $33.88 | $66.07 | $89.13 | |
Wellpoint
| Professional | $32.36 | $35.48 | $56.23 |