| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.33 | $64.33 | $700.31 | |
Aetna
| Professional | $64.33 | $64.33 | $64.33 | |
CareFirst
| Professional | $68.62 | $68.62 | $91.54 | |
Cigna
| Facility | $139.38 | $193.39 | $311.87 | |
Cigna
| Professional | $131.75 | $131.75 | $164.68 | |
Kaiser Permanente
| Professional | $174.34 | $174.34 | $174.34 | |
United
| Professional | $36.02 | $42.89 | $104.13 |