| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.25 | $26.25 | $214.20 | |
Aetna
| Professional | $26.25 | $26.25 | $27.30 | |
CareFirst
| Professional | $28.00 | $28.00 | $118.25 | |
Cigna
| Facility | $56.88 | $59.15 | $127.37 | |
Cigna
| Professional | $21.12 | $110.42 | $272.33 | |
Kaiser Permanente
| Professional | $40.25 | $71.14 | $71.14 | |
United
| Professional | $14.70 | $28.35 | $55.65 |