| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.53 | $57.03 | $72.22 | |
CareFirst
| Professional | $62.92 | $62.92 | $103.82 | |
Cigna
| Facility | $72.36 | $72.36 | $72.36 | |
Cigna
| Professional | $53.22 | $78.18 | $132.18 | |
Kaiser Permanente
| Professional | $58.44 | $76.37 | $108.98 | |
United
| Professional | $52.93 | $73.06 | $131.18 | |
Wellpoint
| Professional | $65.55 | $75.38 | $98.33 |