| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.49 | $26.22 | $43.31 | |
CareFirst
| Professional | $34.00 | $34.00 | $43.80 | |
Cigna
| Facility | $30.91 | $30.91 | $30.91 | |
Cigna
| Professional | $22.56 | $22.56 | $30.91 | |
Kaiser Permanente
| Professional | $44.85 | $64.06 | $92.26 | |
United
| Professional | $21.31 | $31.96 | $50.94 | |
Wellpoint
| Professional | $29.63 | $29.63 | $44.85 |