| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $111.72 | $111.72 | $1,216.29 | |
Aetna
| Professional | $111.72 | $111.72 | $111.72 | |
CareFirst
| Professional | $119.17 | $119.17 | $158.99 | |
Cigna
| Facility | $242.05 | $335.87 | $541.61 | |
Cigna
| Professional | $230.67 | $230.67 | $253.51 | |
Kaiser Permanente
| Professional | $228.55 | $302.79 | $302.79 | |
United
| Professional | $62.56 | $89.38 | $263.18 |