| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.97 | $122.97 | $1,003.44 | |
Aetna
| Professional | $122.97 | $122.97 | $127.89 | |
CareFirst
| Professional | $163.96 | $180.36 | $180.36 | |
Cigna
| Facility | $266.43 | $277.08 | $596.37 | |
Cigna
| Professional | $190.21 | $190.21 | $209.04 | |
Kaiser Permanente
| Professional | $188.55 | $333.28 | $333.28 | |
United
| Professional | $68.86 | $98.38 | $321.85 |