| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.50 | $36.19 | $60.17 | |
CareFirst
| Professional | $41.00 | $41.00 | $52.61 | |
Cigna
| Facility | $54.54 | $54.54 | $54.54 | |
Cigna
| Professional | $39.81 | $39.81 | $54.54 | |
Kaiser Permanente
| Professional | $53.87 | $76.95 | $110.81 | |
United
| Professional | $33.10 | $38.39 | $61.20 | |
Wellpoint
| Professional | $45.72 | $45.72 | $53.87 |