| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $70.79 | $208.93 | |
Aetna
| Professional | $25.12 | $26.92 | $141.25 | |
CareFirst
| Professional | $91.20 | $162.18 | $354.81 | |
Cigna
| Facility | $54.95 | $57.54 | $128.82 | |
Cigna
| Professional | $18.62 | $38.90 | $48.98 | |
Kaiser Permanente
| Professional | $61.66 | $61.66 | $69.18 | |
United
| Facility | $40.74 | $40.74 | $40.74 | |
United
| Professional | $14.45 | $20.42 | $53.70 |