| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.30 | $43.30 | $43.30 | |
Aetna
| Professional | $40.75 | $43.30 | $43.30 | |
CareFirst
| Professional | $40.52 | $40.52 | $48.55 | |
Cigna
| Facility | $28.87 | $28.87 | $28.87 | |
Cigna
| Professional | $28.87 | $28.87 | $44.52 | |
Kaiser Permanente
| Professional | $38.46 | $40.49 | $83.30 | |
United
| Professional | $40.53 | $45.12 | $59.66 |