| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.40 | $223.56 | $880.08 | |
Aetna
| Professional | $27.40 | $27.40 | $27.40 | |
CareFirst
| Professional | $29.22 | $118.69 | $259.75 | |
Cigna
| Facility | $59.35 | $61.72 | $133.32 | |
Cigna
| Professional | $20.07 | $42.13 | $52.66 | |
Kaiser Permanente
| Professional | $74.25 | $74.25 | $74.25 | |
United
| Professional | $16.11 | $21.92 | $45.66 |