| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.83 | $323.83 | $323.83 | |
Aetna
| Professional | $304.20 | $323.83 | $399.25 | |
CareFirst
| Professional | $395.72 | $395.72 | $526.30 | |
Cigna
| Professional | $300.01 | $384.41 | $1,464.60 | |
Kaiser Permanente
| Professional | $316.60 | $372.47 | $771.86 | |
United
| Facility | $253.83 | $253.83 | $253.83 | |
United
| Professional | $240.20 | $293.95 | $859.37 |