| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.13 | $22.46 | $33.69 | |
CareFirst
| Professional | $21.42 | $21.42 | $21.42 | |
Cigna
| Professional | $13.56 | $18.01 | $18.01 | |
Kaiser Permanente
| Professional | $33.22 | $42.20 | $52.83 | |
United
| Professional | $14.97 | $16.57 | $24.97 | |
Wellpoint
| Professional | $14.27 | $14.27 | $28.25 |