| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.05 | $34.28 | $51.34 | |
CareFirst
| Professional | $39.00 | $39.00 | $39.00 | |
Cigna
| Professional | $30.86 | $30.86 | $30.86 | |
Kaiser Permanente
| Professional | $53.35 | $70.79 | $97.10 | |
United
| Professional | $27.23 | $30.16 | $47.14 | |
Wellpoint
| Professional | $50.00 | $50.00 | $51.38 |