| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.43 | $181.43 | $1,480.43 | |
Aetna
| Professional | $181.43 | $181.43 | $188.68 | |
CareFirst
| Professional | $241.90 | $266.08 | $1,321.34 | |
Cigna
| Facility | $393.10 | $408.82 | $879.68 | |
Cigna
| Professional | $180.02 | $423.48 | $1,884.80 | |
Kaiser Permanente
| Professional | $278.19 | $491.71 | $491.71 | |
United
| Professional | $101.60 | $148.28 | $411.89 |