| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.86 | $33.71 | $50.88 | |
CareFirst
| Professional | $51.88 | $51.88 | $55.60 | |
Cigna
| Facility | $42.67 | $42.67 | $42.67 | |
Cigna
| Professional | $36.27 | $36.27 | $43.95 | |
Kaiser Permanente
| Professional | $41.58 | $53.46 | $64.15 | |
United
| Professional | $30.27 | $36.67 | $58.57 | |
Wellpoint
| Professional | $50.43 | $50.43 | $52.09 |