| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $175.50 | $175.50 | $1,432.08 | |
Aetna
| Professional | $175.50 | $175.50 | $182.52 | |
CareFirst
| Professional | $156.61 | $187.20 | $307.85 | |
Cigna
| Facility | $380.25 | $395.46 | $851.11 | |
Cigna
| Professional | $141.11 | $740.75 | $1,822.78 | |
Kaiser Permanente
| Professional | $269.10 | $475.65 | $475.65 | |
United
| Facility | $98.28 | $98.28 | $98.28 | |
United
| Professional | $98.28 | $140.40 | $372.06 |