| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.25 | $594.44 | $1,157.75 | |
Aetna
| Professional | $130.25 | $130.25 | $135.44 | |
CareFirst
| Professional | $156.29 | $197.52 | $931.84 | |
Cigna
| Facility | $282.20 | $293.49 | $630.89 | |
Cigna
| Professional | $123.63 | $221.42 | $1,323.55 | |
Kaiser Permanente
| Professional | $199.71 | $353.00 | $353.00 | |
United
| Professional | $104.20 | $148.61 | $422.05 |