| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.89 | $75.86 | $177.83 | |
Aetna
| Professional | $8.91 | $21.88 | $22.91 | |
CareFirst
| Professional | $20.89 | $30.90 | $208.93 | |
Cigna
| Facility | $47.86 | $48.98 | $112.20 | |
Cigna
| Professional | $16.98 | $39.81 | $131.83 | |
Kaiser Permanente
| Professional | $33.88 | $51.29 | $58.88 | |
United
| Facility | $34.67 | $34.67 | $34.67 | |
United
| Professional | $12.30 | $13.18 | $35.48 |