| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.92 | $26.92 | $40.74 | |
Aetna
| Professional | $26.92 | $33.88 | $58.88 | |
CareFirst
| Professional | $53.70 | $54.95 | $54.95 | |
Cigna
| Facility | $57.54 | $57.54 | $57.54 | |
Cigna
| Professional | $41.69 | $41.69 | $61.66 | |
Kaiser Permanente
| Professional | $37.15 | $109.65 | $141.25 | |
United
| Facility | $120.23 | $120.23 | $120.23 | |
United
| Professional | $33.11 | $48.98 | $63.10 |