| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.58 | $24.58 | $200.55 | |
Aetna
| Professional | $24.58 | $24.58 | $24.58 | |
CareFirst
| Professional | $26.22 | $102.57 | $224.47 | |
Cigna
| Facility | $53.25 | $55.38 | $119.04 | |
Cigna
| Professional | $17.97 | $37.58 | $46.98 | |
Kaiser Permanente
| Professional | $66.61 | $66.61 | $66.61 | |
United
| Professional | $13.76 | $14.75 | $29.82 |