| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $281.84 | $588.84 | |
Aetna
| Professional | $70.79 | $74.13 | $77.62 | |
CareFirst
| Professional | $213.80 | $380.19 | $812.83 | |
Cigna
| Facility | $154.88 | $162.18 | $363.08 | |
Cigna
| Professional | $52.48 | $109.65 | $138.04 | |
Kaiser Permanente
| Professional | $165.96 | $165.96 | $194.98 | |
United
| Facility | $114.82 | $114.82 | $114.82 | |
United
| Professional | $39.81 | $57.54 | $131.83 |