| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.28 | $38.69 | $267.52 | |
CareFirst
| Professional | $31.37 | $34.08 | $51.12 | |
Cigna
| Professional | $27.47 | $39.15 | $66.27 | |
Kaiser Permanente
| Professional | $25.91 | $32.58 | $53.84 | |
United
| Professional | $27.21 | $35.59 | $53.45 | |
Wellpoint
| Professional | $31.36 | $34.99 | $38.88 |