| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.74 | $335.75 | $2,758.03 | |
Aetna
| Professional | $138.74 | $138.74 | $138.74 | |
CareFirst
| Professional | $187.00 | $187.00 | $187.00 | |
Cigna
| Facility | $130.88 | $130.88 | $138.74 | |
Cigna
| Professional | $138.74 | $138.74 | $176.70 | |
Kaiser Permanente
| Professional | $117.93 | $117.93 | $253.80 | |
United
| Professional | $138.74 | $138.74 | $224.87 |