| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.50 | $112.50 | $918.00 | |
Aetna
| Professional | $112.50 | $112.50 | $117.00 | |
CareFirst
| Professional | $120.00 | $135.00 | $135.00 | |
Cigna
| Facility | $243.75 | $253.50 | $545.19 | |
Cigna
| Professional | $158.32 | $158.32 | $173.99 | |
Kaiser Permanente
| Professional | $172.50 | $304.91 | $304.91 | |
United
| Professional | $63.00 | $90.00 | $238.50 |