| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.22 | $91.22 | $744.38 | |
Aetna
| Professional | $91.22 | $91.22 | $94.87 | |
CareFirst
| Professional | $121.63 | $133.79 | $664.38 | |
Cigna
| Facility | $197.65 | $205.56 | $441.62 | |
Cigna
| Professional | $90.45 | $213.12 | $946.45 | |
Kaiser Permanente
| Professional | $139.87 | $247.24 | $247.24 | |
United
| Professional | $51.08 | $74.56 | $263.43 |