| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.36 | $48.64 | $68.12 | |
CareFirst
| Professional | $62.45 | $62.45 | $72.09 | |
Cigna
| Facility | $55.97 | $55.97 | $73.45 | |
Cigna
| Professional | $47.57 | $47.57 | $67.48 | |
Kaiser Permanente
| Professional | $54.64 | $71.40 | $91.80 | |
United
| Professional | $41.89 | $58.18 | $80.55 | |
Wellpoint
| Professional | $64.97 | $67.50 | $68.15 |