| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.29 | $51.50 | $88.41 | |
CareFirst
| Professional | $75.23 | $75.23 | $77.31 | |
Cigna
| Facility | $70.70 | $70.70 | $70.70 | |
Cigna
| Professional | $51.62 | $51.62 | $70.70 | |
Kaiser Permanente
| Professional | $79.18 | $113.11 | $162.88 | |
United
| Professional | $48.59 | $57.53 | $89.94 | |
Wellpoint
| Professional | $62.47 | $62.47 | $79.18 |