| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.99 | $13.91 | $34.50 | |
CareFirst
| Professional | $20.00 | $20.00 | $33.00 | |
Cigna
| Facility | $16.98 | $16.98 | $16.98 | |
Cigna
| Professional | $12.52 | $18.98 | $30.51 | |
Kaiser Permanente
| Professional | $13.80 | $17.86 | $24.92 | |
United
| Professional | $11.86 | $16.04 | $28.46 | |
Wellpoint
| Professional | $16.23 | $19.89 | $22.10 |