| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $258.19 | $526.52 | $776.68 | |
Aetna
| Professional | $37.03 | $37.03 | $37.03 | |
CareFirst
| Professional | $20.70 | $20.70 | $20.70 | |
Cigna
| Facility | $57.08 | $59.36 | $144.03 | |
Cigna
| Professional | $24.86 | $47.08 | $58.85 | |
Kaiser Permanente
| Professional | $96.00 | $96.00 | $96.00 | |
United
| Professional | $20.66 | $22.52 | $43.69 |