| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.85 | $31.09 | $40.61 | |
CareFirst
| Professional | $22.08 | $29.70 | $33.14 | |
Cigna
| Professional | $28.62 | $44.03 | $109.73 | |
Kaiser Permanente
| Professional | $38.45 | $46.01 | $64.08 | |
United
| Professional | $23.88 | $42.90 | $51.07 | |
Wellpoint
| Professional | $34.51 | $49.13 | $61.50 |