| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.75 | $102.75 | $838.44 | |
Aetna
| Professional | $102.75 | $102.75 | $106.86 | |
CareFirst
| Professional | $109.60 | $109.60 | $109.60 | |
Cigna
| Facility | $222.63 | $231.53 | $497.57 | |
Cigna
| Professional | $77.44 | $174.92 | $1,067.78 | |
Kaiser Permanente
| Professional | $157.55 | $278.48 | $278.48 | |
United
| Professional | $57.54 | $82.20 | $217.83 |