| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.78 | $85.53 | $252.65 | |
Aetna
| Facility | CQ | $34.65 | $67.98 | $716.16 |
Aetna
| Professional | $14.40 | $24.99 | $26.44 | |
CareFirst
| Professional | $24.58 | $26.47 | $110.40 | |
Cigna
| Professional | $31.39 | $81.30 | $116.06 | |
Kaiser Permanente
| Professional | $33.65 | $35.97 | $35.97 | |
United
| Professional | $24.08 | $39.93 | $79.72 |