| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.19 | $107.93 | $294.27 | |
CareFirst
| Professional | $61.06 | $77.00 | $105.52 | |
Cigna
| Facility | $110.81 | $110.81 | $110.81 | |
Cigna
| Professional | $74.25 | $118.84 | $202.73 | |
Kaiser Permanente
| Professional | $100.83 | $140.16 | $197.66 | |
United
| Professional | $77.48 | $116.99 | $192.74 | |
Wellpoint
| Professional | $84.33 | $117.85 | $176.78 |