| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $145.28 | $145.28 | $1,511.15 | |
Aetna
| Professional | $145.28 | $145.28 | $145.28 | |
CareFirst
| Professional | $154.97 | $154.97 | $197.54 | |
Cigna
| Facility | $314.77 | $417.30 | $704.69 | |
Cigna
| Professional | $283.73 | $283.73 | $354.66 | |
Kaiser Permanente
| Professional | $393.75 | $393.75 | $393.75 | |
United
| Professional | $86.36 | $92.53 | $224.69 |