| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $316.23 | $602.56 | |
Aetna
| Professional | $61.66 | $125.89 | $288.40 | |
CareFirst
| Professional | $69.18 | $102.33 | $870.96 | |
Cigna
| Facility | $154.88 | $162.18 | $363.08 | |
Cigna
| Professional | $69.18 | $162.18 | $436.52 | |
Kaiser Permanente
| Professional | $109.65 | $165.96 | $194.98 | |
United
| Facility | $114.82 | $114.82 | $114.82 | |
United
| Professional | $39.81 | $45.71 | $144.54 |