| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.10 | $149.69 | $395.86 | |
Aetna
| Professional | $19.36 | $19.36 | $19.36 | |
CareFirst
| Professional | $20.65 | $112.87 | $258.11 | |
Cigna
| Facility | $41.95 | $43.63 | $94.04 | |
Cigna
| Professional | $14.15 | $29.74 | $37.17 | |
Kaiser Permanente
| Professional | $52.46 | $52.46 | $52.46 | |
United
| Professional | $10.84 | $15.83 | $23.49 |