| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.06 | $41.39 | $70.78 | |
CareFirst
| Professional | $80.00 | $80.00 | $80.00 | |
Cigna
| Facility | $47.13 | $47.13 | $47.13 | |
Cigna
| Professional | $34.40 | $34.40 | $47.13 | |
Kaiser Permanente
| Professional | $73.44 | $90.22 | $125.35 | |
United
| Professional | $45.05 | $61.58 | $98.57 | |
Wellpoint
| Professional | $70.91 | $70.91 | $81.86 |