| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.69 | $51.69 | $421.79 | |
Aetna
| Professional | $51.69 | $51.69 | $51.69 | |
CareFirst
| Professional | $55.14 | $55.14 | $62.03 | |
Cigna
| Facility | $112.00 | $116.48 | $249.98 | |
Cigna
| Professional | $37.86 | $79.30 | $99.12 | |
Kaiser Permanente
| Professional | $140.09 | $140.09 | $140.09 | |
United
| Professional | $28.95 | $36.46 | $62.72 |