| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.61 | $67.61 | $562.34 | |
Aetna
| Professional | $67.61 | $70.79 | $79.43 | |
CareFirst
| Professional | $74.13 | $83.18 | $89.13 | |
Cigna
| Facility | $147.91 | $154.88 | $346.74 | |
Kaiser Permanente
| Professional | $104.71 | $177.83 | $186.21 | |
United
| Facility | $109.65 | $109.65 | $109.65 | |
United
| Professional | $38.90 | $47.86 | $141.25 |