| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.72 | $43.91 | $137.27 | |
CareFirst
| Professional | $50.11 | $50.11 | $61.36 | |
Cigna
| Facility | $61.54 | $61.54 | $61.54 | |
Cigna
| Professional | $44.92 | $44.92 | $61.54 | |
Kaiser Permanente
| Professional | $62.83 | $89.75 | $129.24 | |
United
| Professional | $37.04 | $44.78 | $71.37 | |
Wellpoint
| Professional | $49.20 | $49.20 | $62.83 |