| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.47 | $183.40 | $314.02 | |
Aetna
| Professional | $38.47 | $38.47 | $40.02 | |
CareFirst
| Professional | $41.05 | $46.18 | $291.45 | |
Cigna
| Facility | $83.38 | $86.71 | $186.89 | |
Cigna
| Professional | $38.17 | $98.05 | $399.07 | |
Kaiser Permanente
| Professional | $59.01 | $104.30 | $104.30 | |
United
| Professional | $21.55 | $31.74 | $111.32 |