| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.71 | $73.41 | $240.48 | |
Aetna
| Professional | 50 | $99.29 | $99.29 | $317.54 |
CareFirst
| Professional | $52.37 | $55.00 | $69.84 | |
Cigna
| Facility | $45.51 | $507.00 | $641.21 | |
Cigna
| Professional | $45.76 | $81.83 | $157.74 | |
Kaiser Permanente
| Professional | $85.97 | $111.46 | $150.63 | |
United
| Facility | $36.00 | $36.00 | $41.00 | |
United
| Professional | $58.73 | $85.77 | $153.54 | |
Wellpoint
| Professional | $77.19 | $99.36 | $122.82 |