| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.74 | $46.77 | $134.90 | |
CareFirst
| Professional | $19.50 | $44.67 | $51.29 | |
Cigna
| Facility | $29.51 | $36.31 | $72.44 | |
Cigna
| Professional | $25.12 | $38.02 | $281.84 | |
Kaiser Permanente
| Professional | $54.95 | $61.66 | $83.18 | |
United
| Facility | $23.44 | $26.30 | $54.95 | |
United
| Professional | $23.44 | $26.30 | $53.70 | |
Wellpoint
| Professional | $21.88 | $43.65 | $83.18 |