| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $315.89 | $315.89 | $315.89 | |
Aetna
| Professional | $297.32 | $315.89 | $315.89 | |
CareFirst
| Professional | $321.72 | $321.72 | $321.72 | |
Cigna
| Facility | $321.72 | $321.72 | $321.72 | |
Cigna
| Professional | $321.72 | $321.72 | $409.74 | |
Kaiser Permanente
| Professional | $143.58 | $151.13 | $311.00 | |
United
| Professional | $309.70 | $344.77 | $455.90 |