| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.97 | $159.97 | $1,305.40 | |
Aetna
| Professional | $159.97 | $159.97 | $166.37 | |
CareFirst
| Professional | $170.64 | $170.64 | $1,419.90 | |
Cigna
| Facility | $346.63 | $360.49 | $774.93 | |
Cigna
| Professional | $91.29 | $479.76 | $1,661.00 | |
Kaiser Permanente
| Professional | $245.30 | $433.57 | $433.57 | |
United
| Professional | $68.27 | $127.98 | $241.22 |