| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.53 | $39.53 | $322.58 | |
Aetna
| Professional | $39.53 | $39.53 | $39.53 | |
CareFirst
| Professional | $42.17 | $42.17 | $47.44 | |
Cigna
| Facility | $85.65 | $89.08 | $191.65 | |
Cigna
| Professional | $60.71 | $60.71 | $75.89 | |
Kaiser Permanente
| Professional | $107.14 | $107.14 | $107.14 | |
United
| Professional | $22.14 | $42.69 | $47.97 |