| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.88 | $33.88 | $57.54 | |
Aetna
| Professional | $33.11 | $46.77 | $75.86 | |
CareFirst
| Professional | $35.48 | $39.81 | $45.71 | |
Cigna
| Professional | $33.11 | $77.62 | $194.98 | |
Kaiser Permanente
| Professional | $69.18 | $81.28 | $138.04 | |
United
| Facility | $154.88 | $181.97 | $208.93 | |
United
| Professional | $30.90 | $75.86 | $158.49 |