| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $361.61 | $361.61 | $2,950.70 | |
Aetna
| Professional | $361.61 | $361.61 | $361.61 | |
CareFirst
| Professional | $385.71 | $385.71 | $385.71 | |
Cigna
| Facility | $783.48 | $814.81 | $1,752.21 | |
Cigna
| Professional | $559.79 | $559.79 | $615.21 | |
Kaiser Permanente
| Professional | $554.46 | $980.05 | $980.05 | |
United
| Facility | $87.07 | $87.07 | $87.07 | |
United
| Professional | $87.07 | $124.39 | $438.74 |