| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.98 | $21.88 | $28.84 | |
CareFirst
| Professional | $28.18 | $28.18 | $28.18 | |
Cigna
| Facility | $26.92 | $26.92 | $42.66 | |
Cigna
| Professional | $22.91 | $22.91 | $35.48 | |
Kaiser Permanente
| Professional | $28.84 | $39.81 | $44.67 | |
United
| Facility | $1.45 | $13.18 | $25.70 | |
United
| Professional | $16.22 | $22.39 | $35.48 | |
Wellpoint
| Professional | $28.84 | $28.84 | $34.67 |