| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.02 | $43.42 | $70.80 | |
CareFirst
| Professional | $49.42 | $49.62 | $60.53 | |
Cigna
| Facility | $50.66 | $50.66 | $50.66 | |
Cigna
| Professional | $36.97 | $36.97 | $50.66 | |
Kaiser Permanente
| Professional | $61.99 | $88.55 | $127.51 | |
United
| Professional | $39.88 | $45.53 | $70.04 | |
Wellpoint
| Professional | $49.05 | $49.05 | $61.99 |