| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.55 | $131.55 | $1,073.45 | |
Aetna
| Professional | $131.55 | $131.55 | $136.81 | |
CareFirst
| Professional | $140.32 | $140.32 | $140.32 | |
Cigna
| Facility | $285.02 | $296.43 | $638.03 | |
Cigna
| Professional | $99.25 | $224.17 | $1,367.09 | |
Kaiser Permanente
| Professional | $201.71 | $356.54 | $356.54 | |
United
| Professional | $73.67 | $105.24 | $278.89 |