| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.06 | $71.06 | $579.80 | |
Aetna
| Professional | $71.06 | $71.06 | $73.90 | |
CareFirst
| Professional | $94.74 | $104.21 | $315.55 | |
Cigna
| Facility | $153.94 | $160.11 | $344.01 | |
Cigna
| Professional | $68.31 | $213.58 | $738.82 | |
Kaiser Permanente
| Professional | $108.95 | $192.58 | $192.58 | |
United
| Professional | $39.79 | $56.84 | $199.15 |