| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.80 | $33.15 | $47.35 | |
CareFirst
| Professional | $30.19 | $30.19 | $36.97 | |
Cigna
| Facility | $36.21 | $36.21 | $36.21 | |
Cigna
| Professional | $26.43 | $26.43 | $37.29 | |
Kaiser Permanente
| Professional | $37.86 | $54.08 | $77.88 | |
United
| Professional | $23.78 | $26.98 | $42.78 | |
Wellpoint
| Professional | $34.36 | $34.36 | $37.86 |