| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.20 | $66.00 | $83.55 | |
CareFirst
| Professional | $72.18 | $72.18 | $119.10 | |
Cigna
| Facility | $83.52 | $83.52 | $83.52 | |
Cigna
| Professional | $61.80 | $89.87 | $151.52 | |
Kaiser Permanente
| Professional | $67.45 | $88.14 | $126.15 | |
United
| Professional | $59.44 | $80.42 | $142.63 | |
Wellpoint
| Professional | $75.65 | $87.00 | $113.48 |