| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $119.96 | $119.96 | $978.89 | |
Aetna
| Professional | $119.96 | $119.96 | $119.96 | |
CareFirst
| Professional | $127.96 | $127.96 | $127.96 | |
Cigna
| Facility | $259.93 | $270.32 | $580.90 | |
Cigna
| Professional | $183.79 | $183.79 | $229.73 | |
Kaiser Permanente
| Professional | $325.13 | $325.13 | $325.13 | |
United
| Professional | $67.18 | $129.54 | $145.55 |