| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.85 | $22.91 | $501.19 | |
CareFirst
| Professional | $13.49 | $14.79 | $17.38 | |
Cigna
| Professional | $12.30 | $91.20 | $398.11 | |
Kaiser Permanente
| Professional | $363.08 | $478.63 | $645.65 | |
United
| Professional | $17.38 | $70.79 | $398.11 | |
Wellpoint
| Professional | $16.60 | $426.58 | $676.08 |