| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.12 | $206.12 | $1,681.96 | |
Aetna
| Professional | $206.12 | $206.12 | $214.37 | |
CareFirst
| Professional | $219.86 | $252.84 | $252.84 | |
Cigna
| Facility | $446.60 | $464.46 | $998.71 | |
Cigna
| Professional | $319.10 | $319.10 | $350.70 | |
Kaiser Permanente
| Professional | $316.05 | $558.65 | $558.65 | |
United
| Professional | $115.43 | $164.90 | $436.98 |