| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.86 | $512.86 | $512.86 | |
Aetna
| Professional | $512.86 | $549.54 | $741.31 | |
CareFirst
| Professional | $660.69 | $660.69 | $660.69 | |
Cigna
| Facility | $575.44 | $575.44 | $575.44 | |
Cigna
| Professional | $575.44 | $575.44 | $588.84 | |
Kaiser Permanente
| Professional | $537.03 | $537.03 | $537.03 | |
United
| Professional | $31.62 | $104.71 | $741.31 |