| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.22 | $288.89 | $785.14 | |
Aetna
| Professional | $96.22 | $96.22 | $100.07 | |
CareFirst
| Professional | $115.46 | $128.29 | $700.07 | |
Cigna
| Facility | $208.48 | $216.81 | $466.62 | |
Cigna
| Professional | $95.43 | $224.63 | $1,000.37 | |
Kaiser Permanente
| Professional | $147.53 | $260.77 | $260.77 | |
United
| Professional | $53.88 | $76.97 | $277.58 |