| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.93 | $35.93 | $48.26 | |
CareFirst
| Professional | $39.76 | $39.76 | $45.90 | |
Cigna
| Facility | $42.49 | $42.49 | $55.77 | |
Cigna
| Professional | $36.11 | $36.11 | $51.33 | |
Kaiser Permanente
| Professional | $41.45 | $53.32 | $68.55 | |
United
| Professional | $28.89 | $37.65 | $60.13 | |
Wellpoint
| Professional | $49.06 | $50.95 | $51.67 |