| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.09 | $41.57 | $62.39 | |
CareFirst
| Professional | $57.99 | $57.99 | $57.99 | |
Cigna
| Facility | $67.20 | $67.20 | $77.70 | |
Cigna
| Professional | $49.06 | $49.06 | $67.20 | |
Kaiser Permanente
| Professional | $45.75 | $65.36 | $98.04 | |
United
| Professional | $42.94 | $51.83 | $82.02 | |
Wellpoint
| Professional | $45.75 | $62.24 | $62.24 |