| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.29 | $194.96 | $544.27 | |
Aetna
| Professional | $28.88 | $28.88 | $28.88 | |
CareFirst
| Professional | $30.80 | $168.33 | $384.97 | |
Cigna
| Facility | $62.58 | $65.08 | $140.46 | |
Cigna
| Professional | $21.03 | $44.19 | $55.24 | |
Kaiser Permanente
| Professional | $78.26 | $78.26 | $78.26 | |
United
| Professional | $16.17 | $23.60 | $35.03 |