| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.65 | $144.54 | $234.42 | |
Aetna
| Professional | $18.20 | $20.89 | $89.13 | |
CareFirst
| Professional | $69.18 | $123.03 | $263.03 | |
Cigna
| Facility | $38.90 | $40.74 | $93.33 | |
Cigna
| Professional | $13.18 | $27.54 | $34.67 | |
Kaiser Permanente
| Professional | $46.77 | $46.77 | $48.98 | |
United
| Facility | $28.84 | $28.84 | $28.84 | |
United
| Professional | $10.00 | $15.49 | $40.74 |