| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.00 | $77.39 | $98.43 | |
CareFirst
| Professional | $121.02 | $124.41 | $124.41 | |
Cigna
| Facility | $81.17 | $81.17 | $81.17 | |
Cigna
| Professional | $68.98 | $68.98 | $83.61 | |
Kaiser Permanente
| Professional | $79.31 | $107.65 | $141.63 | |
United
| Professional | $61.50 | $77.84 | $124.37 | |
Wellpoint
| Professional | $96.32 | $96.91 | $98.51 |