| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.36 | $44.67 | $61.66 | |
CareFirst
| Professional | $52.48 | $52.48 | $52.48 | |
Cigna
| Professional | $43.65 | $43.65 | $43.65 | |
Kaiser Permanente
| Professional | $75.86 | $89.13 | $123.03 | |
United
| Facility | $51.29 | $51.29 | $87.10 | |
United
| Professional | $36.31 | $42.66 | $66.07 | |
Wellpoint
| Professional | $52.48 | $52.48 | $72.44 |