| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $332.48 | $332.48 | $2,713.06 | |
Aetna
| Professional | $332.48 | $332.48 | $345.78 | |
CareFirst
| Professional | $354.65 | $354.65 | $354.65 | |
Cigna
| Facility | $749.19 | $1,410.28 | $1,611.75 | |
Cigna
| Professional | $514.32 | $514.32 | $565.24 | |
Kaiser Permanente
| Professional | $509.81 | $901.12 | $901.12 | |
United
| Professional | $186.19 | $265.99 | $704.86 |