| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.84 | $75.84 | $618.85 | |
Aetna
| Professional | $75.84 | $75.84 | $78.87 | |
CareFirst
| Professional | $101.12 | $111.23 | $1,139.76 | |
Cigna
| Facility | $164.33 | $170.90 | $367.82 | |
Cigna
| Professional | $60.98 | $319.45 | $787.36 | |
Kaiser Permanente
| Professional | $116.29 | $205.55 | $205.55 | |
United
| Professional | $42.47 | $60.67 | $160.78 |