| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.02 | $84.02 | $685.56 | |
Aetna
| Professional | $84.02 | $84.02 | $84.02 | |
CareFirst
| Professional | $89.62 | $89.62 | $89.62 | |
Cigna
| Facility | $182.03 | $189.31 | $407.10 | |
Cigna
| Professional | $128.44 | $128.44 | $160.55 | |
Kaiser Permanente
| Professional | $227.70 | $227.70 | $227.70 | |
United
| Professional | $47.05 | $90.72 | $101.94 |