| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $438.17 | $438.17 | $3,575.49 | |
Aetna
| Professional | $438.17 | $438.17 | $455.70 | |
CareFirst
| Professional | $525.80 | $584.23 | $11,719.23 | |
Cigna
| Facility | $949.38 | $987.35 | $2,123.60 | |
Cigna
| Professional | $330.36 | $746.16 | $4,551.57 | |
Kaiser Permanente
| Professional | $671.86 | $1,187.56 | $1,187.56 | |
United
| Professional | $245.38 | $473.16 | $928.93 |