| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.75 | $68.75 | $560.96 | |
Aetna
| Professional | $68.75 | $68.75 | $71.48 | |
CareFirst
| Professional | $91.66 | $100.83 | $100.83 | |
Cigna
| Facility | $148.94 | $154.91 | $333.30 | |
Cigna
| Professional | $106.37 | $106.37 | $116.90 | |
Kaiser Permanente
| Professional | $105.41 | $186.32 | $186.32 | |
United
| Professional | $38.50 | $55.00 | $179.94 |