| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.32 | $80.00 | $244.31 | |
Aetna
| Professional | $26.32 | $26.32 | $27.37 | |
CareFirst
| Professional | $28.07 | $38.50 | $199.34 | |
Cigna
| Facility | $57.03 | $59.31 | $127.37 | |
Cigna
| Professional | $26.03 | $59.38 | $272.33 | |
Kaiser Permanente
| Professional | $40.35 | $71.33 | $71.33 | |
United
| Professional | $14.74 | $21.71 | $76.11 |