| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $293.06 | $293.06 | $2,391.39 | |
Aetna
| Professional | $293.06 | $293.06 | $293.06 | |
CareFirst
| Professional | $312.60 | $312.60 | $312.60 | |
Cigna
| Facility | $634.98 | $660.37 | $1,420.10 | |
Cigna
| Professional | $448.93 | $448.93 | $561.16 | |
Kaiser Permanente
| Professional | $794.28 | $794.28 | $794.28 | |
United
| Professional | $164.12 | $175.84 | $355.57 |