| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.32 | $170.66 | $244.31 | |
Aetna
| Professional | $26.32 | $26.32 | $27.37 | |
CareFirst
| Professional | $28.07 | $31.58 | $199.34 | |
Cigna
| Facility | $57.03 | $59.31 | $127.37 | |
Cigna
| Professional | $21.12 | $40.06 | $159.79 | |
Kaiser Permanente
| Professional | $40.35 | $71.33 | $71.33 | |
United
| Facility | $21.11 | $21.11 | $21.11 | |
United
| Professional | $15.79 | $31.93 | $31.93 |