| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.59 | $38.59 | $314.87 | |
Aetna
| Professional | $38.59 | $38.59 | $40.13 | |
CareFirst
| Professional | $51.45 | $56.60 | $905.06 | |
Cigna
| Facility | $83.60 | $86.94 | $186.89 | |
Cigna
| Professional | $31.02 | $162.94 | $401.77 | |
Kaiser Permanente
| Professional | $59.17 | $104.58 | $104.58 | |
United
| Professional | $21.61 | $30.87 | $81.81 |