| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.14 | $132.22 | $392.84 | |
Aetna
| Professional | $48.14 | $48.14 | $48.14 | |
CareFirst
| Professional | $44.93 | $170.27 | $372.64 | |
Cigna
| Facility | $104.30 | $108.47 | $233.31 | |
Cigna
| Professional | $35.18 | $73.51 | $91.89 | |
Kaiser Permanente
| Professional | $130.47 | $130.47 | $130.47 | |
United
| Professional | $22.85 | $58.41 | $58.41 |