| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.18 | $121.03 | $315.87 | |
Aetna
| Professional | $25.40 | $25.40 | $25.40 | |
CareFirst
| Professional | $27.09 | $148.08 | $338.66 | |
Cigna
| Facility | $55.03 | $57.23 | $122.61 | |
Cigna
| Professional | $18.55 | $39.24 | $49.04 | |
Kaiser Permanente
| Professional | $68.83 | $68.83 | $68.83 | |
United
| Professional | $14.22 | $20.76 | $30.81 |