| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.02 | $72.52 | $114.64 | |
CareFirst
| Professional | $79.00 | $79.00 | $100.25 | |
Cigna
| Facility | $102.60 | $102.60 | $102.60 | |
Cigna
| Professional | $74.90 | $74.90 | $102.60 | |
Kaiser Permanente
| Professional | $102.66 | $146.66 | $211.19 | |
United
| Professional | $66.06 | $73.17 | $116.63 | |
Wellpoint
| Professional | $84.65 | $84.65 | $102.66 |