| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.14 | $16.98 | $25.12 | |
CareFirst
| Professional | $22.91 | $22.91 | $22.91 | |
Cigna
| Facility | $22.91 | $22.91 | $36.31 | |
Cigna
| Professional | $19.50 | $19.50 | $29.51 | |
Kaiser Permanente
| Professional | $23.44 | $31.62 | $35.48 | |
United
| Facility | $1.23 | $10.96 | $20.42 | |
United
| Professional | $14.13 | $17.78 | $30.20 | |
Wellpoint
| Professional | $25.70 | $25.70 | $27.54 |