| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $418.83 | $839.98 | $1,773.14 | |
Aetna
| Professional | $210.47 | $232.03 | $564.04 | |
CareFirst
| Professional | $265.68 | $295.20 | $374.90 | |
Cigna
| Professional | $180.56 | $284.50 | $704.34 | |
Kaiser Permanente
| Professional | $221.76 | $283.72 | $515.86 | |
United
| Professional | $149.71 | $257.70 | $449.32 |