| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.99 | $30.20 | $42.66 | |
CareFirst
| Professional | $33.11 | $37.15 | $51.29 | |
Cigna
| Facility | $50.12 | $50.12 | $50.12 | |
Cigna
| Professional | $13.18 | $31.62 | $151.36 | |
Kaiser Permanente
| Professional | $29.51 | $41.69 | $53.70 | |
United
| Facility | $26.30 | $26.30 | $26.30 | |
United
| Professional | $22.39 | $33.11 | $60.26 | |
Wellpoint
| Professional | $38.90 | $47.86 | $56.23 |