| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $380.19 | $380.19 | $457.09 | |
CareFirst
| Professional | $616.60 | $616.60 | $616.60 | |
Cigna
| Facility | $234.42 | $234.42 | $234.42 | |
Cigna
| Professional | $234.42 | $234.42 | $239.88 | |
Kaiser Permanente
| Professional | $562.34 | $562.34 | $562.34 | |
United
| Professional | $269.15 | $446.68 | $446.68 |