| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.67 | $91.67 | $747.99 | |
Aetna
| Professional | $91.67 | $91.67 | $95.33 | |
CareFirst
| Professional | $122.22 | $134.44 | $134.44 | |
Cigna
| Facility | $198.60 | $206.54 | $444.00 | |
Cigna
| Professional | $85.39 | $192.87 | $951.84 | |
Kaiser Permanente
| Professional | $140.55 | $248.44 | $248.44 | |
United
| Facility | $63.37 | $63.37 | $63.37 | |
United
| Professional | $51.33 | $73.33 | $239.92 |