| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $247.13 | $247.13 | $2,016.60 | |
Aetna
| Professional | $247.13 | $247.13 | $257.02 | |
CareFirst
| Professional | $329.51 | $362.46 | $362.46 | |
Cigna
| Facility | $535.45 | $556.87 | $1,197.50 | |
Cigna
| Professional | $186.47 | $421.18 | $2,567.00 | |
Kaiser Permanente
| Professional | $378.94 | $669.79 | $669.79 | |
United
| Professional | $138.38 | $221.89 | $523.91 |