| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.47 | $844.14 | $1,472.11 | |
Aetna
| Professional | $125.45 | $151.47 | $259.95 | |
CareFirst
| Professional | $79.27 | $167.53 | $222.81 | |
Cigna
| Facility | $536.80 | $926.95 | $1,959.63 | |
Cigna
| Professional | $98.03 | $168.59 | $501.47 | |
Kaiser Permanente
| Professional | $159.49 | $191.50 | $371.44 | |
United
| Professional | $99.55 | $179.30 | $511.29 |