| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.51 | $34.24 | $49.87 | |
CareFirst
| Professional | $35.97 | $35.97 | $36.97 | |
Cigna
| Facility | $35.60 | $35.60 | $35.60 | |
Cigna
| Professional | $25.99 | $25.99 | $35.60 | |
Kaiser Permanente
| Professional | $37.86 | $54.08 | $77.88 | |
United
| Professional | $21.56 | $26.98 | $43.56 | |
Wellpoint
| Professional | $30.75 | $37.86 | $45.97 |