| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.00 | $350.34 | $834.18 | |
Aetna
| Professional | $46.61 | $46.61 | $46.61 | |
CareFirst
| Professional | $48.16 | $63.60 | $139.19 | |
Cigna
| Facility | $100.98 | $105.01 | $226.17 | |
Cigna
| Professional | $34.04 | $71.45 | $89.31 | |
Kaiser Permanente
| Professional | $126.31 | $126.31 | $126.31 | |
United
| Professional | $33.52 | $41.85 | $56.55 |