| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $12.88 | $26.30 | |
CareFirst
| Professional | $19.95 | $19.95 | $28.84 | |
Cigna
| Facility | $19.05 | $19.05 | $19.05 | |
Cigna
| Professional | $12.02 | $15.14 | $27.54 | |
Kaiser Permanente
| Professional | $10.72 | $15.14 | $20.42 | |
United
| Facility | $7.24 | $10.96 | $13.49 | |
United
| Professional | $10.23 | $14.45 | $23.99 | |
Wellpoint
| Professional | $14.13 | $18.20 | $20.89 |