| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.81 | $26.32 | $26.32 | |
CareFirst
| Professional | $28.07 | $28.07 | $32.00 | |
Cigna
| Professional | $18.60 | $18.60 | $18.60 | |
Kaiser Permanente
| Professional | $35.09 | $42.11 | $52.64 | |
United
| Professional | $14.74 | $16.14 | $28.06 | |
Wellpoint
| Professional | $17.55 | $27.89 | $27.89 |