| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.41 | $366.23 | $501.11 | |
Aetna
| Professional | $61.41 | $61.41 | $61.41 | |
CareFirst
| Professional | $65.50 | $284.14 | $621.84 | |
Cigna
| Facility | $133.05 | $138.37 | $297.58 | |
Cigna
| Professional | $44.94 | $94.16 | $117.71 | |
Kaiser Permanente
| Professional | $166.44 | $166.44 | $166.44 | |
United
| Facility | $39.95 | $39.95 | $39.95 | |
United
| Professional | $34.39 | $42.81 | $74.51 |