| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.65 | $63.77 | $121.49 | |
Aetna
| Professional | $13.49 | $13.49 | $13.49 | |
CareFirst
| Professional | $14.38 | $79.69 | $179.74 | |
Cigna
| Facility | $29.23 | $30.39 | $65.47 | |
Cigna
| Professional | $9.94 | $20.65 | $25.81 | |
Kaiser Permanente
| Professional | $36.54 | $36.54 | $36.54 | |
United
| Professional | $10.79 | $16.36 | $16.36 |