| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.65 | $25.19 | $43.26 | |
CareFirst
| Professional | $30.89 | $30.89 | $37.83 | |
Cigna
| Facility | $33.22 | $33.22 | $33.22 | |
Cigna
| Professional | $24.25 | $24.25 | $33.22 | |
Kaiser Permanente
| Professional | $38.74 | $55.34 | $79.69 | |
United
| Professional | $22.84 | $27.61 | $44.00 | |
Wellpoint
| Professional | $30.35 | $30.35 | $38.74 |