| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.84 | $81.84 | $667.88 | |
Aetna
| Professional | $81.84 | $81.84 | $85.12 | |
CareFirst
| Professional | $98.22 | $109.13 | $284.23 | |
Cigna
| Facility | $177.33 | $184.42 | $396.39 | |
Cigna
| Professional | $81.12 | $245.77 | $849.37 | |
Kaiser Permanente
| Professional | $125.50 | $221.83 | $221.83 | |
United
| Professional | $45.83 | $65.48 | $236.72 |