| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $412.28 | $706.00 | $802.97 | |
Aetna
| Professional | $89.98 | $89.98 | $89.98 | |
CareFirst
| Professional | $92.29 | $103.82 | $655.19 | |
Cigna
| Facility | $187.45 | $194.95 | $419.01 | |
Cigna
| Professional | $63.29 | $132.57 | $522.40 | |
Kaiser Permanente
| Professional | $132.66 | $234.49 | $234.49 | |
United
| Professional | $48.45 | $71.36 | $250.23 |