| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.66 | $41.66 | $339.91 | |
Aetna
| Professional | $41.66 | $41.66 | $41.66 | |
CareFirst
| Professional | $44.43 | $44.43 | $49.99 | |
Cigna
| Facility | $90.25 | $93.86 | $202.36 | |
Cigna
| Professional | $30.40 | $64.02 | $80.02 | |
Kaiser Permanente
| Professional | $112.90 | $112.90 | $112.90 | |
United
| Professional | $23.33 | $24.99 | $50.54 |