| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.97 | $131.75 | $391.44 | |
Aetna
| Professional | $47.97 | $47.97 | $49.89 | |
CareFirst
| Professional | $51.17 | $51.17 | $256.32 | |
Cigna
| Facility | $103.93 | $108.08 | $232.12 | |
Cigna
| Professional | $38.61 | $202.61 | $498.84 | |
Kaiser Permanente
| Professional | $73.55 | $130.01 | $130.01 | |
United
| Professional | $26.86 | $38.38 | $101.70 |