| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.73 | $30.88 | $50.36 | |
CareFirst
| Professional | $34.00 | $34.00 | $43.06 | |
Cigna
| Facility | $34.54 | $34.54 | $34.54 | |
Cigna
| Professional | $25.21 | $25.21 | $34.54 | |
Kaiser Permanente
| Professional | $44.09 | $62.99 | $90.71 | |
United
| Professional | $27.58 | $32.99 | $49.82 | |
Wellpoint
| Professional | $33.45 | $33.45 | $44.09 |