| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.31 | $38.02 | $44.67 | |
CareFirst
| Professional | $33.88 | $33.88 | $33.88 | |
Cigna
| Professional | $38.02 | $38.02 | $38.02 | |
Kaiser Permanente
| Professional | $36.31 | $42.66 | $51.29 | |
United
| Facility | $37.15 | $42.66 | $44.67 | |
United
| Professional | $37.15 | $37.15 | $44.67 | |
Wellpoint
| Professional | $645.65 | $645.65 | $645.65 |