| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.44 | $72.44 | $72.44 | |
CareFirst
| Professional | $109.65 | $109.65 | $109.65 | |
Cigna
| Facility | $91.20 | $91.20 | $91.20 | |
Cigna
| Professional | $91.20 | $91.20 | $93.33 | |
Kaiser Permanente
| Professional | $89.13 | $89.13 | $89.13 | |
United
| Professional | $46.77 | $70.79 | $79.43 |