| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.26 | $84.89 | $115.68 | |
CareFirst
| Professional | $88.57 | $105.40 | $146.13 | |
Cigna
| Facility | $113.46 | $113.46 | $113.46 | |
Cigna
| Professional | $75.78 | $114.85 | $188.00 | |
Kaiser Permanente
| Professional | $85.87 | $120.22 | $169.71 | |
United
| Professional | $84.81 | $114.50 | $195.76 | |
Wellpoint
| Professional | $110.55 | $135.68 | $150.75 |