| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $129.88 | $1,059.80 | $1,584.11 | |
Aetna
| Professional | $129.88 | $129.88 | $135.07 | |
CareFirst
| Professional | $155.85 | $205.67 | $970.26 | |
Cigna
| Facility | $281.39 | $292.66 | $629.70 | |
Cigna
| Professional | $128.84 | $220.96 | $1,318.27 | |
Kaiser Permanente
| Professional | $199.15 | $352.00 | $352.00 | |
United
| Facility | $101.62 | $101.62 | $101.62 | |
United
| Professional | $103.90 | $145.18 | $439.44 |