| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.70 | $16.80 | $22.86 | |
CareFirst
| Professional | $20.00 | $20.00 | $22.07 | |
Cigna
| Facility | $21.27 | $21.27 | $21.27 | |
Cigna
| Professional | $18.07 | $18.07 | $21.91 | |
Kaiser Permanente
| Professional | $22.73 | $29.22 | $35.07 | |
United
| Professional | $16.13 | $16.51 | $28.29 | |
Wellpoint
| Professional | $21.95 | $21.95 | $27.60 |