| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.31 | $53.70 | $79.43 | |
CareFirst
| Professional | $47.86 | $47.86 | $47.86 | |
Cigna
| Professional | $33.88 | $33.88 | $33.88 | |
Kaiser Permanente
| Professional | $81.28 | $93.33 | $128.82 | |
United
| Facility | $57.54 | $57.54 | $85.11 | |
United
| Professional | $35.48 | $41.69 | $63.10 | |
Wellpoint
| Professional | $34.67 | $34.67 | $51.29 |