| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.89 | $40.08 | $53.19 | |
CareFirst
| Professional | $67.14 | $67.14 | $67.14 | |
Cigna
| Facility | $48.02 | $48.02 | $48.02 | |
Cigna
| Professional | $40.82 | $40.82 | $49.46 | |
Kaiser Permanente
| Professional | $50.84 | $65.37 | $78.44 | |
United
| Professional | $36.02 | $42.28 | $66.84 | |
Wellpoint
| Professional | $56.58 | $58.37 | $58.44 |