| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.15 | $56.36 | $121.31 | |
CareFirst
| Professional | $26.28 | $26.28 | $26.28 | |
Cigna
| Professional | $23.83 | $59.10 | $121.74 | |
Kaiser Permanente
| Professional | $56.79 | $67.87 | $118.65 | |
United
| Professional | $60.03 | $89.53 | $147.76 | |
Wellpoint
| Professional | $58.72 | $66.81 | $88.08 |