| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $812.83 | |
Aetna
| Professional | $93.33 | $100.00 | $107.15 | |
CareFirst
| Professional | $95.50 | $107.15 | $117.49 | |
Cigna
| Facility | $218.78 | $229.09 | $512.86 | |
Kaiser Permanente
| Professional | $154.88 | $154.88 | $275.42 | |
United
| Facility | $162.18 | $162.18 | $162.18 | |
United
| Professional | $56.23 | $60.26 | $165.96 |