| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $89.13 | $426.58 | |
Aetna
| Professional | $60.26 | $72.44 | $138.04 | |
CareFirst
| Professional | $56.23 | $60.26 | $524.81 | |
Cigna
| Facility | $117.49 | $117.49 | $144.54 | |
Kaiser Permanente
| Professional | $81.28 | $141.25 | $141.25 | |
United
| Facility | $85.11 | $85.11 | $85.11 | |
United
| Professional | $30.90 | $33.11 | $91.20 |