| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.14 | $52.14 | $425.46 | |
Aetna
| Professional | $52.14 | $52.14 | $52.14 | |
CareFirst
| Professional | $69.52 | $69.52 | $76.47 | |
Cigna
| Facility | $112.98 | $117.49 | $252.36 | |
Cigna
| Professional | $38.04 | $80.12 | $100.15 | |
Kaiser Permanente
| Professional | $141.31 | $141.31 | $141.31 | |
United
| Professional | $29.20 | $31.28 | $63.26 |