| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.23 | $218.21 | $581.34 | |
Aetna
| Professional | $71.23 | $71.23 | $74.09 | |
CareFirst
| Professional | $94.99 | $104.49 | $576.88 | |
Cigna
| Facility | $154.35 | $160.52 | $345.20 | |
Cigna
| Professional | $57.26 | $300.16 | $738.82 | |
Kaiser Permanente
| Professional | $109.24 | $193.09 | $193.09 | |
United
| Professional | $39.90 | $56.99 | $86.44 |