| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $127.04 | $567.32 | $1,117.46 | |
Aetna
| Professional | $115.23 | $127.04 | $127.04 | |
CareFirst
| Professional | $200.34 | $230.77 | $306.92 | |
Cigna
| Facility | $651.50 | $909.34 | $1,027.06 | |
Cigna
| Professional | $113.20 | $122.21 | $647.98 | |
Kaiser Permanente
| Professional | $134.43 | $300.68 | $300.68 | |
United
| Professional | $115.11 | $210.48 | $433.35 |