| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $33.69 | $46.49 | |
CareFirst
| Professional | $23.31 | $23.31 | $23.31 | |
Cigna
| Professional | $29.14 | $29.14 | $29.14 | |
Kaiser Permanente
| Professional | $30.09 | $38.94 | $53.10 | |
United
| Professional | $17.66 | $24.78 | $47.56 | |
Wellpoint
| Professional | $7.05 | $7.05 | $17.82 |