| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $197.24 | $431.95 | $1,609.50 | |
Aetna
| Professional | $197.24 | $197.24 | $205.13 | |
CareFirst
| Professional | $210.39 | $210.39 | $210.39 | |
Cigna
| Facility | $427.35 | $444.44 | $955.86 | |
Cigna
| Professional | $153.66 | $347.07 | $2,049.28 | |
Kaiser Permanente
| Professional | $302.44 | $534.58 | $534.58 | |
United
| Professional | $110.46 | $157.79 | $418.15 |