| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $185.19 | $185.19 | $1,511.15 | |
Aetna
| Professional | $185.19 | $185.19 | $185.19 | |
CareFirst
| Professional | $197.54 | $197.54 | $197.54 | |
Cigna
| Facility | $401.25 | $417.30 | $897.53 | |
Cigna
| Professional | $283.73 | $283.73 | $354.66 | |
Kaiser Permanente
| Professional | $501.91 | $501.91 | $501.91 | |
United
| Professional | $103.71 | $111.11 | $224.69 |