| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.82 | $85.82 | $700.31 | |
Aetna
| Professional | $85.82 | $85.82 | $85.82 | |
CareFirst
| Professional | $91.54 | $91.54 | $102.99 | |
Cigna
| Facility | $185.95 | $193.39 | $415.44 | |
Cigna
| Professional | $131.75 | $131.75 | $164.68 | |
Kaiser Permanente
| Professional | $232.60 | $232.60 | $232.60 | |
United
| Professional | $48.06 | $77.06 | $104.13 |