| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $178.06 | $426.22 | $648.35 | |
Aetna
| Professional | $73.58 | $73.58 | $73.58 | |
CareFirst
| Professional | $68.68 | $285.55 | $624.92 | |
Cigna
| Facility | $159.43 | $165.80 | $357.11 | |
Cigna
| Professional | $53.73 | $112.75 | $140.94 | |
Kaiser Permanente
| Professional | $199.43 | $199.43 | $199.43 | |
United
| Professional | $38.07 | $41.21 | $89.28 |