| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.54 | $38.67 | $66.45 | |
CareFirst
| Professional | $39.00 | $39.00 | $41.09 | |
Cigna
| Facility | $45.81 | $45.81 | $45.81 | |
Cigna
| Professional | $33.44 | $33.44 | $45.81 | |
Kaiser Permanente
| Professional | $51.32 | $73.31 | $105.58 | |
United
| Professional | $33.82 | $38.57 | $58.00 | |
Wellpoint
| Professional | $44.36 | $44.36 | $51.32 |