| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.24 | $158.06 | $200.77 | |
Aetna
| Professional | $10.30 | $10.30 | $10.30 | |
CareFirst
| Professional | $9.61 | $37.50 | $84.67 | |
Cigna
| Facility | $22.30 | $23.19 | $50.00 | |
Cigna
| Professional | $7.46 | $15.69 | $19.62 | |
Kaiser Permanente
| Professional | $27.91 | $27.91 | $27.91 | |
United
| Professional | $5.19 | $12.49 | $12.81 |