| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $113.28 | $157.52 | $400.39 | |
CareFirst
| Professional | $87.08 | $116.20 | $166.94 | |
Cigna
| Facility | $178.68 | $178.68 | $178.68 | |
Cigna
| Professional | $122.71 | $193.23 | $311.14 | |
Kaiser Permanente
| Professional | $147.55 | $208.12 | $303.30 | |
United
| Professional | $140.30 | $194.82 | $346.32 | |
Wellpoint
| Professional | $136.88 | $165.83 | $248.75 |