| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.52 | $218.52 | $1,783.12 | |
Aetna
| Professional | $218.52 | $218.52 | $227.26 | |
CareFirst
| Professional | $233.09 | $233.09 | $233.09 | |
Cigna
| Facility | $473.45 | $492.39 | $1,059.42 | |
Cigna
| Professional | $164.67 | $371.93 | $2,270.39 | |
Kaiser Permanente
| Professional | $335.06 | $592.25 | $592.25 | |
United
| Professional | $122.37 | $174.82 | $463.26 |