| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.07 | $183.40 | $1,779.37 | |
Aetna
| Professional | $6.35 | $6.35 | $6.35 | |
CareFirst
| Professional | $6.77 | $37.03 | $84.67 | |
Cigna
| Facility | $13.75 | $14.30 | $30.95 | |
Cigna
| Professional | $4.59 | $9.50 | $11.87 | |
Kaiser Permanente
| Professional | $17.20 | $17.20 | $17.20 | |
United
| Professional | $3.55 | $5.19 | $7.70 |