| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $240.73 | $339.31 | $638.63 | |
CareFirst
| Professional | $88.00 | $95.92 | $564.66 | |
Cigna
| Facility | $286.94 | $875.29 | $875.97 | |
Kaiser Permanente
| Professional | $89.69 | $191.91 | $191.91 | |
United
| Professional | $39.65 | $42.66 | $146.11 |