| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.18 | $41.82 | $74.83 | |
CareFirst
| Professional | $50.29 | $50.29 | $65.44 | |
Cigna
| Facility | $66.58 | $66.58 | $66.58 | |
Cigna
| Professional | $48.60 | $48.60 | $66.58 | |
Kaiser Permanente
| Professional | $67.00 | $95.72 | $137.84 | |
United
| Professional | $37.04 | $47.75 | $76.12 | |
Wellpoint
| Professional | $52.49 | $52.49 | $67.00 |