| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.59 | $323.59 | $323.59 | |
Aetna
| Professional | $323.59 | $426.58 | $537.03 | |
CareFirst
| Professional | $537.03 | $537.03 | $537.03 | |
Cigna
| Facility | $371.54 | $371.54 | $371.54 | |
Cigna
| Professional | $371.54 | $371.54 | $380.19 | |
Kaiser Permanente
| Professional | $371.54 | $371.54 | $1,096.48 | |
United
| Professional | $229.09 | $389.05 | $588.84 |