| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.24 | $23.47 | $32.39 | |
CareFirst
| Professional | $16.23 | $16.23 | $16.23 | |
Cigna
| Professional | $20.35 | $20.35 | $20.35 | |
Kaiser Permanente
| Professional | $20.96 | $27.13 | $36.99 | |
United
| Professional | $12.04 | $17.26 | $44.62 | |
Wellpoint
| Professional | $4.91 | $4.91 | $12.42 |