| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.51 | $75.91 | $134.66 | |
CareFirst
| Professional | $92.00 | $92.00 | $117.76 | |
Cigna
| Facility | $85.16 | $85.16 | $85.16 | |
Cigna
| Professional | $62.17 | $62.17 | $85.16 | |
Kaiser Permanente
| Professional | $120.59 | $172.27 | $248.07 | |
United
| Professional | $57.30 | $85.94 | $136.99 | |
Wellpoint
| Professional | $81.64 | $81.64 | $120.59 |