| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.14 | $52.13 | $72.38 | |
CareFirst
| Professional | $52.21 | $52.21 | $52.21 | |
Cigna
| Professional | $43.49 | $43.49 | $43.49 | |
Kaiser Permanente
| Professional | $75.31 | $99.94 | $137.41 | |
United
| Professional | $38.36 | $42.49 | $64.01 | |
Wellpoint
| Professional | $52.00 | $52.00 | $72.40 |