| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.78 | $96.97 | $118.10 | |
Aetna
| Professional | $30.78 | $30.78 | $31.49 | |
CareFirst
| Professional | $30.77 | $31.08 | $36.36 | |
Cigna
| Facility | $29.03 | $29.03 | $30.78 | |
Cigna
| Professional | $30.78 | $30.78 | $39.20 | |
Kaiser Permanente
| Professional | $26.16 | $30.56 | $34.38 | |
United
| Professional | $30.78 | $34.26 | $45.31 |