| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.02 | $64.53 | $269.45 | |
Aetna
| Professional | $33.02 | $33.02 | $33.02 | |
CareFirst
| Professional | $30.82 | $78.97 | $180.63 | |
Cigna
| Facility | $71.55 | $74.41 | $159.51 | |
Cigna
| Professional | $24.09 | $50.39 | $62.98 | |
Kaiser Permanente
| Professional | $89.50 | $89.50 | $89.50 | |
United
| Professional | $11.08 | $18.48 | $40.07 |