| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.27 | $27.79 | $42.36 | |
CareFirst
| Professional | $23.41 | $23.41 | $28.11 | |
Cigna
| Facility | $29.06 | $29.06 | $29.06 | |
Cigna
| Professional | $24.70 | $24.70 | $36.34 | |
Kaiser Permanente
| Professional | $28.78 | $43.54 | $65.79 | |
United
| Professional | $17.66 | $23.18 | $36.35 | |
Wellpoint
| Professional | $21.47 | $21.47 | $33.86 |