| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.01 | $215.34 | $399.88 | |
Aetna
| Professional | $49.01 | $49.01 | $50.97 | |
CareFirst
| Professional | $58.81 | $65.34 | $293.69 | |
Cigna
| Facility | $106.18 | $110.42 | $238.07 | |
Cigna
| Professional | $35.76 | $146.83 | $509.62 | |
Kaiser Permanente
| Professional | $75.14 | $132.82 | $132.82 | |
United
| Professional | $26.80 | $39.20 | $94.68 |