| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.94 | $144.94 | $1,182.69 | |
Aetna
| Professional | $144.94 | $144.94 | $150.74 | |
CareFirst
| Professional | $154.60 | $154.60 | $154.60 | |
Cigna
| Facility | $314.02 | $326.58 | $702.31 | |
Cigna
| Professional | $109.44 | $247.19 | $1,504.61 | |
Kaiser Permanente
| Professional | $222.24 | $392.82 | $392.82 | |
United
| Professional | $81.17 | $175.85 | $307.27 |