| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $28.18 | $38.02 | |
CareFirst
| Professional | $44.67 | $44.67 | $44.67 | |
Cigna
| Facility | $35.48 | $35.48 | $54.95 | |
Cigna
| Professional | $29.51 | $29.51 | $41.69 | |
Kaiser Permanente
| Professional | $38.02 | $52.48 | $58.88 | |
United
| Facility | $2.24 | $19.05 | $33.88 | |
United
| Professional | $24.55 | $30.90 | $46.77 | |
Wellpoint
| Professional | $38.02 | $38.02 | $45.71 |