| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.80 | $151.80 | $1,238.69 | |
Aetna
| Professional | $151.80 | $151.80 | $157.87 | |
CareFirst
| Professional | $202.40 | $222.64 | $222.64 | |
Cigna
| Facility | $328.90 | $342.06 | $735.64 | |
Cigna
| Professional | $114.53 | $258.69 | $1,577.41 | |
Kaiser Permanente
| Professional | $232.76 | $411.42 | $411.42 | |
United
| Professional | $85.01 | $121.44 | $321.82 |