| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.17 | $48.52 | $93.07 | |
CareFirst
| Professional | $68.27 | $68.27 | $68.27 | |
Cigna
| Facility | $64.23 | $64.23 | $79.36 | |
Cigna
| Professional | $54.60 | $54.60 | $64.23 | |
Kaiser Permanente
| Professional | $61.00 | $78.43 | $98.49 | |
United
| Professional | $45.73 | $54.09 | $85.51 | |
Wellpoint
| Professional | $72.98 | $72.98 | $74.06 |