| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.83 | $363.08 | $1,071.52 | |
Aetna
| Professional | $123.03 | $134.90 | $416.87 | |
CareFirst
| Professional | $125.89 | $141.25 | $151.36 | |
Cigna
| Facility | $281.84 | $295.12 | $660.69 | |
Cigna
| Professional | $100.00 | $223.87 | $794.33 | |
Kaiser Permanente
| Professional | $199.53 | $302.00 | $354.81 | |
United
| Facility | $208.93 | $208.93 | $208.93 | |
United
| Professional | $74.13 | $79.43 | $218.78 |