| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.98 | $891.25 | $1,621.81 | |
Aetna
| Professional | $109.65 | $204.17 | $562.34 | |
CareFirst
| Professional | $190.55 | $281.84 | $2,089.30 | |
Cigna
| Facility | $426.58 | $446.68 | $1,000.00 | |
Cigna
| Professional | $158.49 | $371.54 | $1,202.26 | |
Kaiser Permanente
| Professional | $302.00 | $457.09 | $537.03 | |
United
| Facility | $316.23 | $316.23 | $316.23 | |
United
| Professional | $109.65 | $117.49 | $363.08 |