| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.61 | $512.61 | $512.61 | |
Aetna
| Professional | $62.82 | $62.82 | $62.82 | |
CareFirst
| Professional | $67.01 | $67.01 | $67.01 | |
Cigna
| Facility | $136.10 | $141.54 | $304.73 | |
Cigna
| Professional | $96.23 | $96.23 | $120.29 | |
Kaiser Permanente
| Professional | $170.26 | $170.26 | $170.26 | |
United
| Professional | $35.18 | $50.26 | $76.22 |