| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.71 | $45.71 | $45.71 | |
Aetna
| Professional | $33.11 | $70.79 | $104.71 | |
CareFirst
| Professional | $38.90 | $38.90 | $48.98 | |
Cigna
| Facility | $44.67 | $44.67 | $44.67 | |
Cigna
| Professional | $38.02 | $38.02 | $46.77 | |
Kaiser Permanente
| Professional | $100.00 | $100.00 | $138.04 | |
United
| Professional | $22.91 | $34.67 | $57.54 |