| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.40 | $80.65 | $207.22 | |
Aetna
| Professional | $25.40 | $25.40 | $25.40 | |
CareFirst
| Professional | $27.09 | $100.03 | $248.24 | |
Cigna
| Facility | $55.03 | $57.23 | $122.61 | |
Cigna
| Professional | $18.55 | $39.24 | $49.04 | |
Kaiser Permanente
| Professional | $68.83 | $68.83 | $68.83 | |
United
| Professional | $13.24 | $15.72 | $30.81 |