| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.32 | $49.46 | $71.00 | |
CareFirst
| Professional | $30.74 | $30.74 | $39.35 | |
Cigna
| Facility | $50.11 | $50.11 | $50.11 | |
Cigna
| Professional | $50.89 | $50.89 | $50.89 | |
Kaiser Permanente
| Professional | $46.74 | $67.31 | $93.48 | |
United
| Professional | $55.60 | $71.61 | $127.94 | |
Wellpoint
| Professional | $62.32 | $75.65 | $84.06 |