| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.18 | $24.20 | $39.45 | |
CareFirst
| Professional | $27.56 | $27.65 | $33.72 | |
Cigna
| Facility | $40.14 | $40.14 | $40.14 | |
Cigna
| Professional | $34.11 | $34.11 | $40.14 | |
Kaiser Permanente
| Professional | $34.54 | $49.35 | $71.06 | |
United
| Professional | $22.24 | $25.46 | $39.03 | |
Wellpoint
| Professional | $27.34 | $27.34 | $41.95 |