| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $129.55 | $313.51 | $1,057.10 | |
Aetna
| Professional | $129.55 | $129.55 | $134.72 | |
CareFirst
| Professional | $172.73 | $190.00 | $1,504.67 | |
Cigna
| Facility | $280.68 | $291.89 | $628.51 | |
Cigna
| Professional | $111.05 | $388.68 | $1,345.52 | |
Kaiser Permanente
| Professional | $198.64 | $351.11 | $351.11 | |
United
| Professional | $72.55 | $103.64 | $254.65 |