| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.99 | $66.22 | $91.38 | |
CareFirst
| Professional | $45.81 | $45.81 | $45.81 | |
Cigna
| Professional | $56.91 | $56.91 | $56.91 | |
Kaiser Permanente
| Professional | $59.13 | $76.53 | $104.36 | |
United
| Professional | $33.97 | $46.27 | $99.55 | |
Wellpoint
| Professional | $13.86 | $13.86 | $35.03 |