| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.80 | $163.89 | $655.57 | |
Aetna
| Professional | $20.09 | $20.09 | $20.09 | |
CareFirst
| Professional | $24.10 | $118.69 | $267.77 | |
Cigna
| Facility | $43.53 | $45.27 | $97.61 | |
Cigna
| Professional | $14.72 | $30.98 | $38.72 | |
Kaiser Permanente
| Professional | $54.44 | $54.44 | $54.44 | |
United
| Professional | $11.25 | $16.42 | $24.37 |