| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.96 | $34.57 | $51.22 | |
CareFirst
| Professional | $19.28 | $19.28 | $19.28 | |
Cigna
| Professional | $55.12 | $58.03 | $78.33 | |
Kaiser Permanente
| Professional | $28.31 | $32.56 | $42.47 | |
United
| Professional | $29.14 | $42.77 | $60.34 | |
Wellpoint
| Professional | $28.31 | $28.31 | $32.56 |