| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.75 | $262.70 | $920.02 | |
Aetna
| Professional | $112.75 | $112.75 | $117.26 | |
CareFirst
| Professional | $150.33 | $165.36 | $1,213.67 | |
Cigna
| Facility | $244.28 | $254.05 | $546.38 | |
Cigna
| Professional | $90.66 | $475.97 | $1,170.25 | |
Kaiser Permanente
| Professional | $172.88 | $305.58 | $305.58 | |
United
| Professional | $63.14 | $90.20 | $239.02 |