| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.67 | $221.84 | $747.99 | |
Aetna
| Professional | $91.67 | $91.67 | $95.33 | |
CareFirst
| Professional | $122.22 | $134.44 | $403.57 | |
Cigna
| Facility | $198.60 | $206.54 | $444.00 | |
Cigna
| Professional | $90.88 | $274.82 | $951.84 | |
Kaiser Permanente
| Professional | $140.55 | $248.44 | $248.44 | |
United
| Professional | $51.33 | $73.33 | $265.12 |