| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.89 | $20.05 | $20.32 | |
CareFirst
| Professional | $19.52 | $21.69 | $29.50 | |
Cigna
| Facility | $17.82 | $18.94 | $35.08 | |
Cigna
| Professional | $14.37 | $31.39 | $39.24 | |
Kaiser Permanente
| Professional | $27.11 | $31.18 | $40.67 | |
United
| Facility | $12.88 | $12.88 | $12.88 | |
United
| Professional | $11.39 | $12.74 | $20.60 | |
Wellpoint
| Professional | $10.57 | $13.56 | $45.77 |