| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $155.47 | $155.47 | $1,268.74 | |
Aetna
| Professional | $155.47 | $155.47 | $161.69 | |
CareFirst
| Professional | $186.58 | $207.31 | $831.31 | |
Cigna
| Facility | $336.88 | $350.35 | $753.50 | |
Cigna
| Professional | $121.06 | $273.42 | $1,615.16 | |
Kaiser Permanente
| Professional | $238.41 | $421.40 | $421.40 | |
United
| Professional | $87.07 | $124.39 | $329.62 |