| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.60 | $69.88 | $124.61 | |
Aetna
| Professional | $45.23 | $45.23 | $45.23 | |
CareFirst
| Professional | $35.33 | $141.57 | $309.83 | |
Cigna
| Facility | $59.70 | $112.49 | $128.56 | |
Cigna
| Professional | $40.60 | $40.60 | $50.75 | |
Kaiser Permanente
| Professional | $71.81 | $71.81 | $71.81 | |
United
| Professional | $19.00 | $19.00 | $32.15 |