| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.59 | $562.34 | $3,311.31 | |
Aetna
| Professional | $2.00 | $2.00 | $3.31 | |
CareFirst
| Professional | $4.47 | $4.47 | $4.47 | |
Cigna
| Facility | $85.11 | $85.11 | $85.11 | |
Cigna
| Professional | $2.75 | $2.75 | $2.75 | |
Kaiser Permanente
| Professional | $30.20 | $34.67 | $34.67 | |
United
| Facility | $2.69 | $3.98 | $4.79 | |
United
| Professional | $2.69 | $2.69 | $3.98 |