| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.60 | $100.60 | $820.88 | |
Aetna
| Professional | $100.60 | $100.60 | $104.62 | |
CareFirst
| Professional | $107.30 | $107.30 | $107.30 | |
Cigna
| Facility | $217.95 | $226.67 | $488.05 | |
Cigna
| Professional | $156.01 | $156.01 | $171.45 | |
Kaiser Permanente
| Professional | $154.25 | $272.64 | $272.64 | |
United
| Professional | $56.33 | $80.48 | $213.27 |