| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $281.44 | $281.44 | $2,296.53 | |
Aetna
| Professional | $281.44 | $281.44 | $292.70 | |
CareFirst
| Professional | $300.20 | $300.20 | $300.20 | |
Cigna
| Facility | $609.78 | $634.16 | $1,364.15 | |
Cigna
| Professional | $212.36 | $479.64 | $2,922.93 | |
Kaiser Permanente
| Professional | $431.54 | $762.77 | $762.77 | |
United
| Professional | $157.61 | $225.15 | $596.65 |