| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.16 | $133.16 | $1,086.67 | |
Aetna
| Professional | $133.16 | $133.16 | $133.16 | |
CareFirst
| Professional | $142.05 | $751.01 | $1,643.59 | |
Cigna
| Facility | $288.52 | $300.07 | $645.17 | |
Cigna
| Professional | $97.33 | $204.02 | $255.03 | |
Kaiser Permanente
| Professional | $360.93 | $360.93 | $360.93 | |
United
| Professional | $74.58 | $143.80 | $161.58 |