| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.26 | $60.26 | $60.26 | |
Aetna
| Professional | $38.02 | $53.70 | $177.83 | |
CareFirst
| Professional | $50.12 | $50.12 | $61.66 | |
Cigna
| Facility | $58.88 | $58.88 | $58.88 | |
Cigna
| Professional | $43.65 | $43.65 | $61.66 | |
Kaiser Permanente
| Professional | $128.82 | $128.82 | $177.83 | |
United
| Professional | $29.51 | $44.67 | $74.13 |