| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.24 | $144.24 | $1,177.00 | |
Aetna
| Professional | $144.24 | $144.24 | $150.01 | |
CareFirst
| Professional | $153.86 | $153.86 | $640.16 | |
Cigna
| Facility | $312.52 | $325.02 | $698.74 | |
Cigna
| Professional | $115.85 | $608.90 | $1,499.21 | |
Kaiser Permanente
| Professional | $221.17 | $390.93 | $390.93 | |
United
| Professional | $80.77 | $115.39 | $362.17 |