| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.90 | $138.90 | $1,133.42 | |
Aetna
| Professional | $138.90 | $138.90 | $144.46 | |
CareFirst
| Professional | $148.16 | $148.16 | $148.16 | |
Cigna
| Facility | $300.95 | $312.99 | $673.74 | |
Cigna
| Professional | $104.75 | $236.60 | $1,442.59 | |
Kaiser Permanente
| Professional | $212.98 | $376.46 | $376.46 | |
United
| Professional | $77.78 | $111.12 | $294.47 |