| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.91 | $79.95 | $143.27 | |
CareFirst
| Professional | $31.61 | $44.57 | $72.98 | |
Cigna
| Facility | $73.68 | $73.68 | $73.68 | |
Cigna
| Professional | $53.46 | $90.90 | $149.47 | |
Kaiser Permanente
| Professional | $69.37 | $95.66 | $149.08 | |
United
| Professional | $70.73 | $92.80 | $156.34 | |
Wellpoint
| Professional | $57.05 | $77.87 | $116.81 |