| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.59 | $42.02 | $57.71 | |
CareFirst
| Professional | $49.98 | $49.98 | $53.80 | |
Cigna
| Facility | $46.80 | $46.80 | $46.80 | |
Cigna
| Professional | $39.78 | $39.78 | $48.20 | |
Kaiser Permanente
| Professional | $55.41 | $71.23 | $85.48 | |
United
| Professional | $38.49 | $44.57 | $70.45 | |
Wellpoint
| Professional | $58.63 | $58.63 | $65.51 |