| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.35 | $38.25 | $38.25 | |
CareFirst
| Professional | $33.60 | $33.60 | $33.60 | |
Cigna
| Professional | $38.25 | $38.25 | $38.25 | |
Kaiser Permanente
| Professional | $36.34 | $42.75 | $53.97 | |
United
| Professional | $37.50 | $37.50 | $45.00 | |
Wellpoint
| Professional | $640.40 | $640.40 | $640.40 |