| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.93 | $6,570.72 | $15,552.00 | |
Aetna
| Professional | $21.31 | $21.31 | $21.31 | |
CareFirst
| Professional | $21.31 | $35.61 | $60.21 | |
Cigna
| Facility | $20.10 | $20.10 | $21.31 | |
Kaiser Permanente
| Professional | $18.11 | $18.11 | $21.31 | |
United
| Professional | $19.39 | $21.31 | $34.54 |