| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.81 | $27.99 | $38.04 | |
CareFirst
| Professional | $44.55 | $44.55 | $44.55 | |
Cigna
| Facility | $35.11 | $35.11 | $35.11 | |
Cigna
| Professional | $29.84 | $29.84 | $36.15 | |
Kaiser Permanente
| Professional | $37.28 | $47.93 | $57.52 | |
United
| Professional | $26.84 | $27.89 | $46.40 | |
Wellpoint
| Professional | $38.04 | $38.04 | $45.27 |