| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.47 | $60.27 | $164.41 | |
Aetna
| Professional | $12.65 | $12.65 | $12.65 | |
CareFirst
| Professional | $13.50 | $73.77 | $168.72 | |
Cigna
| Facility | $27.43 | $28.52 | $61.90 | |
Cigna
| Professional | $9.18 | $19.41 | $24.26 | |
Kaiser Permanente
| Professional | $34.29 | $34.29 | $34.29 | |
United
| Professional | $4.38 | $10.34 | $15.35 |