| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.31 | $28.35 | $45.89 | |
CareFirst
| Professional | $42.40 | $42.40 | $42.40 | |
Cigna
| Facility | $33.36 | $33.36 | $33.36 | |
Cigna
| Professional | $28.36 | $28.36 | $34.36 | |
Kaiser Permanente
| Professional | $35.59 | $45.76 | $54.91 | |
United
| Professional | $25.46 | $29.63 | $50.87 | |
Wellpoint
| Professional | $39.34 | $40.38 | $40.54 |