| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.86 | $35.86 | $292.60 | |
Aetna
| Professional | $35.86 | $35.86 | $35.86 | |
CareFirst
| Professional | $38.25 | $275.47 | $602.87 | |
Cigna
| Facility | $77.70 | $80.81 | $173.79 | |
Cigna
| Professional | $26.20 | $54.93 | $68.66 | |
Kaiser Permanente
| Professional | $97.18 | $97.18 | $97.18 | |
United
| Professional | $20.07 | $30.07 | $119.12 |