| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.76 | $74.00 | $120.66 | |
CareFirst
| Professional | $84.25 | $84.25 | $84.58 | |
Cigna
| Facility | $100.03 | $100.03 | $100.03 | |
Cigna
| Professional | $73.02 | $73.02 | $100.03 | |
Kaiser Permanente
| Professional | $105.64 | $150.91 | $217.32 | |
United
| Professional | $67.98 | $77.76 | $119.40 | |
Wellpoint
| Professional | $83.58 | $83.58 | $105.64 |