| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.37 | $25.13 | $33.24 | |
CareFirst
| Professional | $21.43 | $21.43 | $25.74 | |
Cigna
| Facility | $19.37 | $19.37 | $19.95 | |
Cigna
| Professional | $16.19 | $16.46 | $19.37 | |
Kaiser Permanente
| Professional | $26.36 | $33.89 | $50.60 | |
United
| Professional | $13.94 | $18.79 | $28.30 | |
Wellpoint
| Professional | $17.89 | $17.89 | $23.61 |