| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.81 | $65.81 | $65.81 | |
Aetna
| Professional | $49.39 | $65.81 | $234.60 | |
CareFirst
| Professional | $57.66 | $57.66 | $57.66 | |
Cigna
| Facility | $57.66 | $57.66 | $57.66 | |
Cigna
| Professional | $57.66 | $57.66 | $73.43 | |
Kaiser Permanente
| Professional | $58.61 | $61.69 | $126.94 | |
United
| Professional | $276.00 | $307.25 | $328.44 |