| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $349.63 | $349.63 | $2,852.96 | |
Aetna
| Professional | $349.63 | $349.63 | $363.61 | |
CareFirst
| Professional | $372.94 | $428.88 | $428.88 | |
Cigna
| Facility | $757.53 | $787.83 | $1,695.07 | |
Cigna
| Professional | $541.02 | $541.02 | $594.58 | |
Kaiser Permanente
| Professional | $536.10 | $947.58 | $947.58 | |
United
| Professional | $195.79 | $279.70 | $741.21 |