| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.59 | $31.42 | $42.70 | |
CareFirst
| Professional | $37.36 | $37.36 | $41.45 | |
Cigna
| Facility | $39.90 | $39.90 | $39.90 | |
Cigna
| Professional | $33.92 | $33.92 | $41.11 | |
Kaiser Permanente
| Professional | $42.69 | $54.88 | $65.86 | |
United
| Professional | $25.82 | $30.71 | $49.98 | |
Wellpoint
| Professional | $40.43 | $40.43 | $51.83 |