| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.19 | $37.19 | $303.49 | |
Aetna
| Professional | $37.19 | $37.19 | $38.68 | |
CareFirst
| Professional | $49.59 | $54.55 | $175.36 | |
Cigna
| Facility | $80.58 | $83.80 | $179.74 | |
Cigna
| Professional | $36.86 | $111.50 | $385.59 | |
Kaiser Permanente
| Professional | $57.03 | $100.80 | $100.80 | |
United
| Facility | $59.51 | $59.51 | $59.51 | |
United
| Professional | $20.83 | $29.75 | $107.56 |