| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.02 | $134.63 | $400.00 | |
Aetna
| Professional | $49.02 | $49.02 | $50.98 | |
CareFirst
| Professional | $65.36 | $71.90 | $284.70 | |
Cigna
| Facility | $106.20 | $110.45 | $238.07 | |
Cigna
| Professional | $48.59 | $146.83 | $509.62 | |
Kaiser Permanente
| Professional | $75.16 | $132.86 | $132.86 | |
United
| Professional | $27.45 | $39.22 | $141.78 |