| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.54 | $144.54 | $1,174.90 | |
Aetna
| Professional | $134.90 | $144.54 | $154.88 | |
CareFirst
| Professional | $138.04 | $154.88 | $169.82 | |
Cigna
| Facility | $316.23 | $323.59 | $741.31 | |
Cigna
| Professional | $109.65 | $245.47 | $870.96 | |
Kaiser Permanente
| Professional | $223.87 | $338.84 | $389.05 | |
United
| Facility | $234.42 | $234.42 | $234.42 | |
United
| Professional | $81.28 | $87.10 | $239.88 |