| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $281.25 | $281.25 | $2,295.00 | |
Aetna
| Professional | $281.25 | $281.25 | $292.50 | |
CareFirst
| Professional | $300.00 | $337.50 | $337.50 | |
Cigna
| Facility | $609.38 | $633.75 | $1,362.96 | |
Cigna
| Professional | $395.04 | $395.04 | $434.15 | |
Kaiser Permanente
| Professional | $431.25 | $762.26 | $762.26 | |
United
| Professional | $157.50 | $225.00 | $596.25 |