| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.43 | $79.43 | $660.69 | |
Aetna
| Professional | $74.13 | $81.28 | $85.11 | |
CareFirst
| Professional | $77.62 | $85.11 | $93.33 | |
Cigna
| Facility | $173.78 | $181.97 | $407.38 | |
Kaiser Permanente
| Professional | $123.03 | $186.21 | $218.78 | |
United
| Facility | $128.82 | $128.82 | $128.82 | |
United
| Professional | $44.67 | $47.86 | $134.90 |