| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.77 | $27.20 | $37.61 | |
CareFirst
| Professional | $29.06 | $29.06 | $29.06 | |
Cigna
| Facility | $25.81 | $25.81 | $25.81 | |
Cigna
| Professional | $21.94 | $21.94 | $30.36 | |
Kaiser Permanente
| Professional | $30.07 | $42.96 | $61.86 | |
United
| Professional | $16.70 | $21.43 | $33.97 | |
Wellpoint
| Professional | $21.53 | $21.53 | $30.07 |