| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.79 | $49.93 | $78.20 | |
CareFirst
| Professional | $74.03 | $74.03 | $74.03 | |
Cigna
| Facility | $65.00 | $65.00 | $65.00 | |
Cigna
| Professional | $55.25 | $55.25 | $65.00 | |
Kaiser Permanente
| Professional | $57.83 | $82.62 | $118.97 | |
United
| Professional | $45.56 | $55.52 | $89.76 | |
Wellpoint
| Professional | $53.49 | $53.49 | $53.49 |