| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.68 | $27.53 | $99.43 | |
CareFirst
| Professional | $36.77 | $36.77 | $36.77 | |
Cigna
| Facility | $31.91 | $31.91 | $31.91 | |
Cigna
| Professional | $27.12 | $27.12 | $32.86 | |
Kaiser Permanente
| Professional | $31.59 | $40.61 | $50.00 | |
United
| Professional | $22.52 | $27.13 | $43.40 | |
Wellpoint
| Professional | $38.36 | $45.00 | $45.00 |