| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $253.30 | $253.30 | $2,066.91 | |
Aetna
| Professional | $253.30 | $253.30 | $263.43 | |
CareFirst
| Professional | $144.84 | $270.18 | $359.34 | |
Cigna
| Facility | $548.79 | $570.75 | $1,227.26 | |
Cigna
| Professional | $77.94 | $760.08 | $2,631.71 | |
Kaiser Permanente
| Professional | $388.39 | $686.50 | $686.50 | |
United
| Professional | $58.29 | $202.64 | $307.33 |