| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.13 | $89.13 | $91.20 | |
CareFirst
| Professional | $120.23 | $120.23 | $120.23 | |
Cigna
| Facility | $70.79 | $70.79 | $70.79 | |
Cigna
| Professional | $70.79 | $70.79 | $72.44 | |
Kaiser Permanente
| Professional | $112.20 | $112.20 | $112.20 | |
United
| Professional | $57.54 | $87.10 | $95.50 |