| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $127.43 | $127.43 | $1,039.79 | |
Aetna
| Professional | $127.43 | $127.43 | $132.52 | |
CareFirst
| Professional | $135.91 | $135.91 | $637.42 | |
Cigna
| Facility | $276.10 | $287.14 | $617.79 | |
Cigna
| Professional | $77.55 | $382.40 | $1,323.95 | |
Kaiser Permanente
| Professional | $195.39 | $345.36 | $345.36 | |
United
| Professional | $58.06 | $101.94 | $205.16 |