| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.29 | $139.12 | $9,773.99 | |
Aetna
| Professional | $40.29 | $40.29 | $47.13 | |
CareFirst
| Professional | $40.29 | $44.59 | $48.16 | |
Cigna
| Facility | $34.63 | $34.63 | $40.29 | |
Cigna
| Professional | $40.29 | $40.29 | $50.56 | |
Kaiser Permanente
| Professional | $34.25 | $40.29 | $81.42 | |
United
| Professional | $40.29 | $44.85 | $59.18 |