| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $228.61 | $228.61 | $1,865.44 | |
Aetna
| Professional | $228.61 | $228.61 | $237.75 | |
CareFirst
| Professional | $243.85 | $243.85 | $243.85 | |
Cigna
| Facility | $495.33 | $515.14 | $1,108.23 | |
Cigna
| Professional | $183.74 | $963.73 | $2,375.55 | |
Kaiser Permanente
| Professional | $350.53 | $619.59 | $619.59 | |
United
| Professional | $128.02 | $182.89 | $484.65 |