| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $242.22 | $242.22 | $1,976.52 | |
Aetna
| Professional | $242.22 | $242.22 | $242.22 | |
CareFirst
| Professional | $258.37 | $258.37 | $258.37 | |
Cigna
| Facility | $524.79 | $545.79 | $1,173.70 | |
Cigna
| Professional | $370.87 | $370.87 | $463.59 | |
Kaiser Permanente
| Professional | $656.48 | $656.48 | $656.48 | |
United
| Professional | $135.63 | $161.47 | $293.89 |