| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.71 | $29.21 | $36.96 | |
CareFirst
| Professional | $20.00 | $30.82 | $45.61 | |
Cigna
| Facility | $35.79 | $35.79 | $35.79 | |
Cigna
| Professional | $14.00 | $31.80 | $149.66 | |
Kaiser Permanente
| Professional | $28.52 | $37.85 | $53.31 | |
United
| Professional | $21.23 | $31.32 | $53.18 | |
Wellpoint
| Professional | $34.69 | $42.58 | $47.31 |