| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.12 | $22.83 | $458.50 | |
CareFirst
| Professional | $12.53 | $12.53 | $14.16 | |
Cigna
| Professional | $12.63 | $89.33 | $380.45 | |
Kaiser Permanente
| Professional | $363.39 | $495.32 | $943.46 | |
United
| Professional | $59.39 | $288.22 | $400.30 | |
Wellpoint
| Professional | $18.68 | $96.00 | $491.65 |