| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.30 | $159.31 | $376.93 | |
CareFirst
| Professional | $19.36 | $19.36 | $22.26 | |
Cigna
| Professional | $19.80 | $89.33 | $453.92 | |
Kaiser Permanente
| Professional | $98.21 | $402.53 | $766.72 | |
United
| Professional | $26.26 | $267.36 | $416.24 | |
Wellpoint
| Professional | $22.46 | $37.79 | $400.14 |