| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.57 | $262.50 | $779.87 | |
Aetna
| Professional | $95.57 | $95.57 | $99.40 | |
CareFirst
| Professional | $127.43 | $140.16 | $663.98 | |
Cigna
| Facility | $207.08 | $215.36 | $463.05 | |
Cigna
| Professional | $82.85 | $286.60 | $992.28 | |
Kaiser Permanente
| Professional | $146.54 | $259.02 | $259.02 | |
United
| Professional | $53.52 | $76.45 | $241.57 |