| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.32 | $20.32 | $165.91 | |
Aetna
| Professional | $20.32 | $20.32 | $20.32 | |
CareFirst
| Professional | $21.69 | $21.69 | $21.69 | |
Cigna
| Facility | $44.05 | $45.81 | $98.80 | |
Cigna
| Professional | $31.39 | $31.39 | $39.24 | |
Kaiser Permanente
| Professional | $55.11 | $55.11 | $55.11 | |
United
| Professional | $11.39 | $12.20 | $24.67 |