| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.64 | $37.09 | $55.64 | |
CareFirst
| Professional | $30.64 | $30.64 | $30.64 | |
Cigna
| Professional | $28.02 | $28.02 | $28.02 | |
Kaiser Permanente
| Professional | $54.89 | $69.70 | $87.25 | |
United
| Professional | $24.72 | $27.38 | $41.79 | |
Wellpoint
| Professional | $23.57 | $23.57 | $46.66 |