| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.29 | $51.50 | $88.41 | |
CareFirst
| Professional | $63.12 | $63.12 | $77.31 | |
Cigna
| Facility | $64.66 | $64.66 | $64.66 | |
Cigna
| Professional | $47.20 | $47.20 | $86.85 | |
Kaiser Permanente
| Professional | $79.18 | $113.11 | $162.88 | |
United
| Professional | $43.75 | $56.42 | $89.94 | |
Wellpoint
| Professional | $61.99 | $61.99 | $79.18 |