| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.43 | $34.24 | $64.53 | |
CareFirst
| Professional | $22.75 | $22.75 | $29.12 | |
Cigna
| Facility | $52.43 | $52.43 | $52.43 | |
Cigna
| Professional | $31.96 | $45.63 | $78.11 | |
Kaiser Permanente
| Professional | $30.63 | $39.64 | $63.02 | |
United
| Professional | $29.22 | $40.67 | $72.93 | |
Wellpoint
| Professional | $36.74 | $45.09 | $50.10 |