| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.52 | $16.60 | $22.56 | |
CareFirst
| Professional | $21.53 | $21.53 | $22.02 | |
Cigna
| Facility | $21.16 | $21.16 | $21.16 | |
Cigna
| Professional | $17.98 | $17.98 | $21.79 | |
Kaiser Permanente
| Professional | $22.67 | $29.15 | $34.97 | |
United
| Professional | $15.94 | $16.14 | $27.29 | |
Wellpoint
| Professional | $21.03 | $21.03 | $27.53 |