| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $354.81 | $436.52 | |
Aetna
| Professional | $23.99 | $30.20 | $30.20 | |
CareFirst
| Professional | $28.84 | $28.84 | $28.84 | |
Cigna
| Facility | $30.90 | $30.90 | $30.90 | |
Cigna
| Professional | $30.90 | $30.90 | $30.90 | |
Kaiser Permanente
| Professional | $28.84 | $28.84 | $39.81 | |
United
| Professional | $30.20 | $30.20 | $48.98 |