| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.65 | $43.65 | $43.65 | |
Aetna
| Professional | $36.31 | $43.65 | $44.67 | |
CareFirst
| Professional | $42.66 | $42.66 | $42.66 | |
Cigna
| Facility | $44.67 | $44.67 | $44.67 | |
Cigna
| Professional | $44.67 | $44.67 | $44.67 | |
Kaiser Permanente
| Professional | $42.66 | $42.66 | $67.61 | |
United
| Professional | $50.12 | $50.12 | $81.28 |