| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.17 | $32.47 | $59.53 | |
CareFirst
| Professional | $41.00 | $41.00 | $52.06 | |
Cigna
| Facility | $36.72 | $36.72 | $36.72 | |
Cigna
| Professional | $26.81 | $26.81 | $36.72 | |
Kaiser Permanente
| Professional | $53.31 | $76.15 | $109.66 | |
United
| Professional | $28.52 | $37.99 | $60.56 | |
Wellpoint
| Professional | $40.40 | $40.40 | $53.31 |