| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.28 | $18.98 | $25.50 | |
CareFirst
| Professional | $23.72 | $23.72 | $24.07 | |
Cigna
| Facility | $23.28 | $23.28 | $30.56 | |
Cigna
| Professional | $19.79 | $19.79 | $27.37 | |
Kaiser Permanente
| Professional | $24.79 | $31.87 | $38.24 | |
United
| Professional | $14.93 | $19.14 | $31.69 | |
Wellpoint
| Professional | $27.50 | $27.50 | $28.33 |