| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.17 | $44.07 | $76.72 | |
CareFirst
| Professional | $65.31 | $65.31 | $67.09 | |
Cigna
| Facility | $53.85 | $53.85 | $53.85 | |
Cigna
| Professional | $39.31 | $39.31 | $53.85 | |
Kaiser Permanente
| Professional | $68.70 | $98.16 | $141.35 | |
United
| Professional | $40.47 | $48.97 | $78.06 | |
Wellpoint
| Professional | $52.03 | $52.03 | $68.70 |