| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.57 | $173.21 | $505.92 | |
Aetna
| Professional | $15.09 | $21.91 | $27.08 | |
CareFirst
| Professional | $15.08 | $15.08 | $23.37 | |
Cigna
| Facility | $31.32 | $31.32 | $31.32 | |
Cigna
| Professional | $9.40 | $16.79 | $47.34 | |
Kaiser Permanente
| Professional | $20.65 | $26.23 | $45.00 | |
United
| Professional | $7.75 | $14.94 | $22.21 |