| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.28 | $84.50 | $117.25 | |
CareFirst
| Professional | $117.58 | $117.58 | $117.58 | |
Cigna
| Facility | $111.50 | $111.50 | $111.50 | |
Cigna
| Professional | $94.78 | $94.78 | $129.57 | |
Kaiser Permanente
| Professional | $112.18 | $144.22 | $173.08 | |
United
| Professional | $74.00 | $89.80 | $141.91 | |
Wellpoint
| Professional | $115.84 | $115.84 | $135.37 |