| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.09 | $29.99 | $47.92 | |
CareFirst
| Professional | $32.21 | $32.21 | $41.92 | |
Cigna
| Facility | $35.07 | $35.07 | $35.07 | |
Cigna
| Professional | $25.60 | $25.60 | $35.07 | |
Kaiser Permanente
| Professional | $42.92 | $61.32 | $88.30 | |
United
| Professional | $25.30 | $30.59 | $48.76 | |
Wellpoint
| Professional | $33.61 | $33.61 | $42.92 |