| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $28.18 | $38.90 | |
CareFirst
| Professional | $23.99 | $23.99 | $23.99 | |
Cigna
| Professional | $16.98 | $16.98 | $16.98 | |
Kaiser Permanente
| Professional | $40.74 | $46.77 | $64.57 | |
United
| Facility | $28.84 | $28.84 | $42.66 | |
United
| Professional | $17.78 | $20.89 | $31.62 | |
Wellpoint
| Professional | $17.38 | $17.38 | $25.70 |