| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.25 | $35.25 | $287.64 | |
Aetna
| Professional | $35.25 | $35.25 | $36.65 | |
CareFirst
| Professional | $37.60 | $42.30 | $42.30 | |
Cigna
| Facility | $76.38 | $79.43 | $171.41 | |
Cigna
| Professional | $54.64 | $54.64 | $60.05 | |
Kaiser Permanente
| Professional | $54.05 | $95.54 | $95.54 | |
United
| Professional | $19.73 | $28.20 | $74.73 |