| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.23 | $72.20 | $277.11 | |
Aetna
| Professional | $45.23 | $45.23 | $45.23 | |
CareFirst
| Professional | $45.23 | $141.57 | $309.83 | |
Cigna
| Facility | $76.52 | $143.74 | $164.27 | |
Cigna
| Professional | $52.04 | $52.04 | $65.05 | |
Kaiser Permanente
| Professional | $92.04 | $92.04 | $92.04 | |
United
| Professional | $27.14 | $27.14 | $62.93 |