| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.51 | $206.51 | $1,685.14 | |
Aetna
| Professional | $206.51 | $206.51 | $206.51 | |
CareFirst
| Professional | $220.28 | $220.28 | $220.28 | |
Cigna
| Facility | $447.45 | $465.35 | $1,001.09 | |
Cigna
| Professional | $319.52 | $319.52 | $351.16 | |
Kaiser Permanente
| Professional | $316.64 | $559.70 | $559.70 | |
United
| Professional | $115.65 | $165.21 | $437.81 |