| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.64 | $70.43 | $219.62 | |
Aetna
| Professional | $25.64 | $25.64 | $25.64 | |
CareFirst
| Professional | $27.35 | $139.88 | $315.58 | |
Cigna
| Facility | $55.55 | $57.77 | $123.80 | |
Cigna
| Professional | $18.73 | $39.24 | $49.04 | |
Kaiser Permanente
| Professional | $69.50 | $69.50 | $69.50 | |
United
| Professional | $18.51 | $19.35 | $31.11 |