| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.79 | $129.10 | $402.02 | |
Aetna
| Professional | $49.27 | $49.27 | $51.24 | |
CareFirst
| Professional | $52.55 | $52.55 | $233.26 | |
Cigna
| Facility | $106.75 | $111.02 | $239.26 | |
Cigna
| Professional | $39.67 | $147.62 | $512.32 | |
Kaiser Permanente
| Professional | $75.54 | $133.53 | $133.53 | |
United
| Professional | $27.59 | $53.20 | $106.74 |