| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $24.15 | $33.28 | |
CareFirst
| Professional | $29.59 | $29.59 | $30.87 | |
Cigna
| Facility | $30.64 | $30.64 | $40.22 | |
Cigna
| Professional | $26.04 | $26.04 | $30.64 | |
Kaiser Permanente
| Professional | $31.79 | $40.88 | $49.05 | |
United
| Professional | $18.62 | $25.71 | $40.63 | |
Wellpoint
| Professional | $33.83 | $33.83 | $38.00 |