| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $190.55 | $190.55 | $208.93 | |
CareFirst
| Professional | $316.23 | $316.23 | $316.23 | |
Cigna
| Facility | $245.47 | $245.47 | $245.47 | |
Cigna
| Professional | $245.47 | $245.47 | $251.19 | |
Kaiser Permanente
| Professional | $213.80 | $213.80 | $213.80 | |
United
| Professional | $123.03 | $181.97 | $229.09 |