| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.45 | $24.05 | $437.00 | |
CareFirst
| Professional | $25.16 | $25.16 | $25.16 | |
Cigna
| Professional | $38.74 | $40.90 | $41.36 | |
Kaiser Permanente
| Professional | $15.23 | $17.51 | $22.85 | |
United
| Professional | $15.59 | $23.89 | $34.00 | |
Wellpoint
| Professional | $15.23 | $15.23 | $17.51 |