| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.44 | $19.63 | $35.03 | |
CareFirst
| Professional | $21.13 | $21.13 | $21.13 | |
Cigna
| Professional | $32.15 | $33.75 | $52.51 | |
Kaiser Permanente
| Professional | $19.63 | $22.57 | $29.45 | |
United
| Professional | $17.03 | $25.44 | $40.39 | |
Wellpoint
| Professional | $16.97 | $16.97 | $22.57 |