| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.34 | $87.73 | $134.37 | |
CareFirst
| Professional | $92.00 | $92.00 | $117.50 | |
Cigna
| Facility | $95.80 | $96.73 | $96.73 | |
Cigna
| Professional | $70.61 | $70.61 | $96.73 | |
Kaiser Permanente
| Professional | $120.32 | $171.88 | $247.51 | |
United
| Professional | $61.77 | $85.75 | $136.69 | |
Wellpoint
| Professional | $75.00 | $87.52 | $120.32 |