| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.20 | $22.20 | $181.15 | |
Aetna
| Professional | $22.20 | $22.20 | $23.09 | |
CareFirst
| Professional | $23.68 | $23.68 | $23.68 | |
Cigna
| Facility | $48.10 | $50.02 | $107.13 | |
Cigna
| Professional | $34.61 | $34.61 | $38.04 | |
Kaiser Permanente
| Professional | $34.04 | $60.17 | $60.17 | |
United
| Professional | $12.43 | $17.76 | $52.30 |