| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.31 | $48.31 | $394.19 | |
Aetna
| Professional | $48.31 | $48.31 | $48.31 | |
CareFirst
| Professional | $51.53 | $51.53 | $51.53 | |
Cigna
| Facility | $104.68 | $108.86 | $234.50 | |
Cigna
| Professional | $73.93 | $73.93 | $92.41 | |
Kaiser Permanente
| Professional | $130.93 | $130.93 | $130.93 | |
United
| Facility | $27.05 | $27.05 | $27.05 | |
United
| Professional | $27.05 | $28.98 | $58.61 |