| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.29 | $158.49 | $158.49 | |
Aetna
| Professional | $20.89 | $43.65 | $61.66 | |
CareFirst
| Professional | $28.84 | $74.13 | $245.47 | |
Cigna
| Professional | $21.38 | $48.98 | $177.83 | |
Kaiser Permanente
| Professional | $69.18 | $69.18 | $87.10 | |
United
| Facility | $43.65 | $67.61 | $67.61 | |
United
| Professional | $21.38 | $60.26 | $141.25 |