| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $30.20 | $30.20 | |
Aetna
| Professional | $19.05 | $26.92 | $36.31 | |
CareFirst
| Professional | $23.99 | $23.99 | $31.62 | |
Cigna
| Facility | $28.84 | $28.84 | $28.84 | |
Cigna
| Professional | $21.38 | $21.38 | $30.20 | |
Kaiser Permanente
| Professional | $63.10 | $63.10 | $89.13 | |
United
| Professional | $14.13 | $21.38 | $35.48 |