| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.65 | $47.91 | $86.95 | |
CareFirst
| Professional | $62.00 | $62.00 | $79.58 | |
Cigna
| Facility | $73.27 | $73.27 | $73.27 | |
Cigna
| Professional | $53.49 | $53.49 | $73.27 | |
Kaiser Permanente
| Professional | $81.48 | $116.42 | $167.64 | |
United
| Professional | $43.12 | $58.08 | $92.58 | |
Wellpoint
| Professional | $58.22 | $58.22 | $81.48 |