| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.09 | $229.09 | $229.09 | |
Aetna
| Professional | $229.09 | $269.15 | $407.38 | |
CareFirst
| Professional | $302.00 | $302.00 | $389.05 | |
Cigna
| Facility | $416.87 | $416.87 | $416.87 | |
Cigna
| Professional | $309.03 | $309.03 | $446.68 | |
Kaiser Permanente
| Professional | $371.54 | $794.33 | $1,096.48 | |
United
| Facility | $912.01 | $912.01 | $912.01 | |
United
| Professional | $186.21 | $275.42 | $524.81 |