| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.47 | $43.55 | $59.20 | |
CareFirst
| Professional | $51.80 | $51.80 | $59.80 | |
Cigna
| Facility | $54.52 | $54.52 | $54.52 | |
Cigna
| Professional | $46.34 | $46.34 | $56.16 | |
Kaiser Permanente
| Professional | $58.16 | $74.78 | $89.74 | |
United
| Professional | $37.54 | $44.37 | $72.22 | |
Wellpoint
| Professional | $58.77 | $58.77 | $70.63 |