| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $178.84 | $416.69 | $2,854.47 | |
Aetna
| Professional | $115.34 | $177.79 | $178.84 | |
CareFirst
| Professional | $123.75 | $137.50 | $226.88 | |
Cigna
| Professional | $215.48 | $528.46 | $768.17 | |
Kaiser Permanente
| Professional | $236.36 | $417.60 | $417.60 | |
United
| Professional | $88.14 | $280.83 | $333.50 |