| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.26 | $22.21 | $31.73 | |
CareFirst
| Professional | $20.23 | $20.23 | $24.77 | |
Cigna
| Facility | $24.26 | $24.26 | $24.26 | |
Cigna
| Professional | $17.71 | $17.71 | $24.99 | |
Kaiser Permanente
| Professional | $25.37 | $36.24 | $52.19 | |
United
| Professional | $15.74 | $18.07 | $28.67 | |
Wellpoint
| Professional | $23.02 | $23.02 | $25.37 |