| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.28 | $12.84 | $25.50 | |
CareFirst
| Professional | $20.00 | $20.00 | $33.00 | |
Cigna
| Facility | $19.14 | $19.14 | $19.14 | |
Cigna
| Professional | $12.09 | $16.64 | $28.54 | |
Kaiser Permanente
| Professional | $12.17 | $15.75 | $22.45 | |
United
| Professional | $10.78 | $15.03 | $26.98 | |
Wellpoint
| Professional | $14.41 | $17.69 | $19.64 |