| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.48 | $29.48 | $240.58 | |
Aetna
| Professional | $29.48 | $29.48 | $30.66 | |
CareFirst
| Professional | $39.31 | $43.24 | $325.05 | |
Cigna
| Facility | $63.88 | $66.43 | $142.84 | |
Cigna
| Professional | $23.68 | $124.35 | $307.39 | |
Kaiser Permanente
| Professional | $45.21 | $79.91 | $79.91 | |
United
| Professional | $16.51 | $23.59 | $62.50 |