| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.79 | $36.07 | $49.88 | |
CareFirst
| Professional | $32.42 | $32.42 | $38.94 | |
Cigna
| Professional | $23.24 | $23.24 | $23.24 | |
Kaiser Permanente
| Professional | $39.88 | $56.97 | $82.04 | |
United
| Professional | $24.16 | $28.42 | $45.07 | |
Wellpoint
| Professional | $28.53 | $28.53 | $39.88 |