| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $195.38 | $195.38 | $1,594.26 | |
Aetna
| Professional | $195.38 | $195.38 | $203.19 | |
CareFirst
| Professional | $208.40 | $208.40 | $208.40 | |
Cigna
| Facility | $423.33 | $440.26 | $947.53 | |
Cigna
| Professional | $302.42 | $302.42 | $332.36 | |
Kaiser Permanente
| Professional | $299.58 | $529.52 | $529.52 | |
United
| Professional | $109.41 | $117.23 | $414.20 |