| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.00 | $42.00 | $83.20 | |
CareFirst
| Professional | $67.00 | $67.00 | $67.00 | |
Cigna
| Professional | $39.75 | $39.75 | $39.75 | |
Kaiser Permanente
| Professional | $53.42 | $66.78 | $80.13 | |
United
| Professional | $31.12 | $31.12 | $51.86 | |
Wellpoint
| Professional | $45.41 | $63.00 | $63.00 |