| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.14 | $146.41 | $441.80 | |
Aetna
| Professional | $54.14 | $54.14 | $54.14 | |
CareFirst
| Professional | $57.75 | $57.75 | $64.97 | |
Cigna
| Facility | $117.30 | $121.99 | $261.88 | |
Cigna
| Professional | $39.58 | $83.01 | $103.77 | |
Kaiser Permanente
| Professional | $146.74 | $146.74 | $146.74 | |
United
| Professional | $30.32 | $32.49 | $65.69 |