| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $377.55 | $377.55 | $3,080.81 | |
Aetna
| Professional | $377.55 | $377.55 | $377.55 | |
CareFirst
| Professional | $402.72 | $402.72 | $402.72 | |
Cigna
| Facility | $818.03 | $850.75 | $1,829.58 | |
Cigna
| Professional | $525.00 | $525.00 | $656.25 | |
Kaiser Permanente
| Professional | $1,023.26 | $1,023.26 | $1,023.26 | |
United
| Professional | $211.43 | $211.43 | $458.08 |