| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.92 | $26.92 | $26.92 | |
Aetna
| Professional | $18.20 | $25.70 | $38.02 | |
CareFirst
| Professional | $23.44 | $23.44 | $28.84 | |
Cigna
| Facility | $28.84 | $28.84 | $28.84 | |
Cigna
| Professional | $24.55 | $24.55 | $30.20 | |
Kaiser Permanente
| Professional | $58.88 | $58.88 | $81.28 | |
United
| Professional | $16.22 | $21.88 | $33.88 |