| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.77 | $96.05 | $766.19 | |
Aetna
| Professional | $69.22 | $69.22 | $69.22 | |
CareFirst
| Professional | $69.22 | $120.42 | $203.61 | |
Cigna
| Facility | $76.14 | $76.14 | $76.14 | |
Kaiser Permanente
| Professional | $157.25 | $157.25 | $157.25 | |
United
| Professional | $76.59 | $81.43 | $100.69 |