| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.89 | $562.34 | $707.95 | |
Aetna
| Professional | $97.72 | $134.90 | $478.63 | |
CareFirst
| Professional | $199.53 | $251.19 | $549.54 | |
Cigna
| Facility | $645.65 | $912.01 | $1,023.29 | |
Cigna
| Professional | $112.20 | $123.03 | $645.65 | |
Kaiser Permanente
| Professional | $89.13 | $102.33 | $309.03 | |
United
| Facility | $416.87 | $489.78 | $575.44 | |
United
| Professional | $114.82 | $173.78 | $436.52 |