| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.55 | $163.55 | $1,334.53 | |
Aetna
| Professional | $163.55 | $163.55 | $163.55 | |
CareFirst
| Professional | $196.25 | $682.53 | $1,493.71 | |
Cigna
| Facility | $354.35 | $368.52 | $792.78 | |
Cigna
| Professional | $250.69 | $250.69 | $313.36 | |
Kaiser Permanente
| Professional | $443.25 | $443.25 | $443.25 | |
United
| Professional | $91.59 | $98.13 | $198.43 |