| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $262.22 | $262.22 | $2,139.67 | |
Aetna
| Professional | $262.22 | $262.22 | $262.22 | |
CareFirst
| Professional | $279.70 | $279.70 | $279.70 | |
Cigna
| Professional | $405.87 | $405.87 | $446.05 | |
Kaiser Permanente
| Professional | $402.06 | $710.67 | $710.67 | |
United
| Facility | $419.54 | $419.54 | $419.54 | |
United
| Professional | $146.84 | $209.77 | $555.90 |