| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.11 | $131.11 | $1,069.83 | |
Aetna
| Professional | $131.11 | $131.11 | $136.35 | |
CareFirst
| Professional | $139.85 | $139.85 | $139.85 | |
Cigna
| Facility | $284.08 | $295.44 | $635.65 | |
Cigna
| Professional | $202.73 | $202.73 | $222.80 | |
Kaiser Permanente
| Professional | $201.03 | $355.34 | $355.34 | |
United
| Professional | $73.42 | $104.89 | $277.95 |