| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $387.78 | $389.07 | $398.25 | |
Aetna
| Professional | $106.97 | $106.97 | $111.25 | |
CareFirst
| Professional | $114.10 | $128.37 | $128.37 | |
Cigna
| Facility | $231.78 | $241.05 | $519.00 | |
Cigna
| Professional | $83.35 | $188.27 | $1,110.93 | |
Kaiser Permanente
| Professional | $164.02 | $289.92 | $289.92 | |
United
| Professional | $59.90 | $85.58 | $226.78 |