| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.47 | $245.47 | $245.47 | |
Aetna
| Professional | $190.55 | $223.87 | $338.84 | |
CareFirst
| Professional | $245.47 | $245.47 | $323.59 | |
Cigna
| Facility | $363.08 | $363.08 | $363.08 | |
Cigna
| Professional | $269.15 | $269.15 | $389.05 | |
Kaiser Permanente
| Professional | $309.03 | $660.69 | $912.01 | |
United
| Facility | $707.95 | $707.95 | $707.95 | |
United
| Professional | $154.88 | $239.88 | $354.81 |