| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.15 | $66.15 | $539.78 | |
Aetna
| Professional | $66.15 | $66.15 | $68.80 | |
CareFirst
| Professional | $70.56 | $70.56 | $193.80 | |
Cigna
| Facility | $143.33 | $149.06 | $320.20 | |
Cigna
| Professional | $53.14 | $278.72 | $687.59 | |
Kaiser Permanente
| Professional | $101.43 | $179.28 | $179.28 | |
United
| Professional | $37.04 | $52.92 | $140.24 |