| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.61 | $46.61 | $380.30 | |
Aetna
| Professional | $46.61 | $46.61 | $46.61 | |
CareFirst
| Professional | $49.71 | $49.71 | $49.71 | |
Cigna
| Facility | $100.98 | $105.01 | $226.17 | |
Cigna
| Professional | $71.45 | $71.45 | $89.31 | |
Kaiser Permanente
| Professional | $126.31 | $126.31 | $126.31 | |
United
| Professional | $26.10 | $27.96 | $56.55 |