| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $12.02 | $19.50 | |
CareFirst
| Professional | $3.80 | $12.88 | $14.79 | |
Cigna
| Facility | $7.94 | $10.47 | $20.89 | |
Cigna
| Professional | $7.94 | $9.12 | $41.69 | |
Kaiser Permanente
| Professional | $15.85 | $17.78 | $25.12 | |
United
| Facility | $6.76 | $7.59 | $14.45 | |
United
| Professional | $6.46 | $7.59 | $14.45 | |
Wellpoint
| Professional | $6.31 | $12.59 | $23.99 |