| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.70 | $210.65 | $625.83 | |
Aetna
| Professional | $76.70 | $76.70 | $79.76 | |
CareFirst
| Professional | $102.26 | $112.49 | $811.58 | |
Cigna
| Facility | $166.18 | $172.82 | $371.39 | |
Cigna
| Professional | $61.60 | $323.74 | $795.45 | |
Kaiser Permanente
| Professional | $117.60 | $207.86 | $207.86 | |
United
| Professional | $42.95 | $61.36 | $162.59 |