| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.47 | $245.47 | $1,995.26 | |
Aetna
| Professional | $229.09 | $245.47 | $263.03 | |
CareFirst
| Professional | $229.09 | $346.74 | $1,659.59 | |
Cigna
| Facility | $524.81 | $549.54 | $1,230.27 | |
Cigna
| Professional | $194.98 | $724.44 | $2,511.89 | |
Kaiser Permanente
| Professional | $371.54 | $562.34 | $660.69 | |
United
| Facility | $389.05 | $389.05 | $389.05 | |
United
| Professional | $134.90 | $144.54 | $416.87 |