| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $26.92 | $39.81 | |
CareFirst
| Professional | $28.18 | $31.62 | $36.31 | |
Cigna
| Professional | $26.30 | $34.67 | $61.66 | |
Kaiser Permanente
| Professional | $33.88 | $39.81 | $54.95 | |
United
| Professional | $27.54 | $39.81 | $47.86 | |
Wellpoint
| Professional | $27.54 | $45.71 | $60.26 |