| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.77 | $54.92 | $177.39 | |
Aetna
| Professional | $18.07 | $18.07 | $18.07 | |
CareFirst
| Professional | $19.27 | $78.97 | $180.63 | |
Cigna
| Facility | $39.15 | $40.72 | $88.09 | |
Cigna
| Professional | $13.19 | $27.67 | $34.59 | |
Kaiser Permanente
| Professional | $48.97 | $48.97 | $48.97 | |
United
| Professional | $10.60 | $16.22 | $21.92 |