| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.03 | $21.78 | $30.12 | |
CareFirst
| Professional | $23.27 | $23.27 | $23.51 | |
Cigna
| Facility | $20.66 | $20.66 | $20.66 | |
Cigna
| Professional | $17.55 | $17.55 | $24.31 | |
Kaiser Permanente
| Professional | $24.08 | $34.40 | $49.54 | |
United
| Professional | $12.36 | $17.16 | $27.21 | |
Wellpoint
| Professional | $17.23 | $17.23 | $24.08 |