| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.78 | $42.02 | $68.52 | |
CareFirst
| Professional | $53.36 | $53.36 | $58.58 | |
Cigna
| Facility | $69.70 | $69.70 | $69.70 | |
Cigna
| Professional | $59.25 | $59.25 | $69.70 | |
Kaiser Permanente
| Professional | $59.99 | $85.70 | $123.41 | |
United
| Professional | $38.60 | $44.04 | $67.80 | |
Wellpoint
| Professional | $47.47 | $47.47 | $59.99 |