| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.33 | $73.34 | $415.98 | |
Aetna
| Professional | $13.45 | $13.45 | $13.45 | |
CareFirst
| Professional | $14.34 | $78.44 | $179.33 | |
Cigna
| Facility | $29.13 | $30.29 | $65.47 | |
Cigna
| Professional | $9.75 | $20.65 | $25.81 | |
Kaiser Permanente
| Professional | $36.45 | $36.45 | $36.45 | |
United
| Professional | $7.37 | $11.00 | $16.32 |