| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.10 | $86.10 | $693.20 | |
Aetna
| Professional | $37.36 | $37.36 | $37.36 | |
CareFirst
| Professional | $42.84 | $43.30 | $73.20 | |
Cigna
| Facility | $35.25 | $35.25 | $47.32 | |
Kaiser Permanente
| Professional | $31.76 | $31.76 | $37.36 | |
United
| Professional | $41.83 | $49.16 | $58.99 |