| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.67 | $31.76 | $58.01 | |
CareFirst
| Professional | $40.00 | $40.00 | $51.23 | |
Cigna
| Facility | $55.83 | $55.83 | $55.83 | |
Cigna
| Professional | $40.76 | $40.76 | $40.76 | |
Kaiser Permanente
| Professional | $52.46 | $74.94 | $107.91 | |
United
| Professional | $29.87 | $37.39 | $59.60 | |
Wellpoint
| Professional | $39.69 | $39.69 | $52.46 |