| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.94 | $132.94 | $1,084.77 | |
Aetna
| Professional | $132.94 | $132.94 | $138.26 | |
CareFirst
| Professional | $177.25 | $194.98 | $584.29 | |
Cigna
| Facility | $288.02 | $299.55 | $643.99 | |
Cigna
| Professional | $131.87 | $398.88 | $1,380.57 | |
Kaiser Permanente
| Professional | $203.84 | $360.30 | $360.30 | |
United
| Professional | $74.45 | $106.35 | $384.48 |