| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.54 | $251.54 | $2,052.53 | |
Aetna
| Professional | $251.54 | $251.54 | $261.60 | |
CareFirst
| Professional | $301.83 | $335.38 | $927.95 | |
Cigna
| Facility | $545.00 | $566.79 | $1,218.93 | |
Cigna
| Professional | $249.43 | $754.58 | $2,612.84 | |
Kaiser Permanente
| Professional | $385.69 | $681.73 | $681.73 | |
United
| Professional | $140.86 | $201.23 | $727.49 |