| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.25 | $80.25 | $654.84 | |
Aetna
| Professional | $80.25 | $80.25 | $83.46 | |
CareFirst
| Professional | $85.60 | $85.60 | $85.60 | |
Cigna
| Facility | $173.88 | $180.83 | $389.25 | |
Cigna
| Professional | $124.30 | $124.30 | $136.61 | |
Kaiser Permanente
| Professional | $123.05 | $217.50 | $217.50 | |
United
| Professional | $44.94 | $64.20 | $170.13 |