| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $243.44 | $668.63 | $1,986.43 | |
Aetna
| Professional | $243.44 | $243.44 | $253.17 | |
CareFirst
| Professional | $259.66 | $292.12 | $292.12 | |
Cigna
| Facility | $527.45 | $548.54 | $1,179.65 | |
Cigna
| Professional | $183.83 | $415.20 | $2,529.25 | |
Kaiser Permanente
| Professional | $373.27 | $659.77 | $659.77 | |
United
| Professional | $136.32 | $194.75 | $516.08 |