| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.13 | $331.13 | $2,691.53 | |
Aetna
| Professional | $123.03 | $331.13 | $354.81 | |
CareFirst
| Professional | $316.23 | $501.19 | $3,630.78 | |
Cigna
| Facility | $707.95 | $741.31 | $1,698.24 | |
Cigna
| Professional | $107.15 | $1,000.00 | $3,388.44 | |
Kaiser Permanente
| Professional | $501.19 | $776.25 | $891.25 | |
United
| Facility | $524.81 | $524.81 | $524.81 | |
United
| Professional | $79.43 | $199.53 | $295.12 |