| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.75 | $120.28 | $622.67 | |
Aetna
| Professional | $18.07 | $18.07 | $18.07 | |
CareFirst
| Professional | $19.29 | $78.97 | $180.63 | |
Cigna
| Facility | $39.18 | $40.74 | $88.09 | |
Cigna
| Professional | $13.19 | $28.08 | $35.11 | |
Kaiser Permanente
| Professional | $49.01 | $49.01 | $49.01 | |
United
| Professional | $10.13 | $11.43 | $21.94 |