| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $286.27 | $286.27 | $2,336.00 | |
Aetna
| Professional | $286.27 | $286.27 | $297.73 | |
CareFirst
| Professional | $305.36 | $305.36 | $2,672.34 | |
Cigna
| Facility | $620.28 | $645.09 | $1,387.96 | |
Cigna
| Professional | $91.29 | $859.02 | $2,974.16 | |
Kaiser Permanente
| Professional | $438.96 | $775.88 | $775.88 | |
United
| Professional | $68.27 | $229.02 | $347.34 |