| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.68 | $446.68 | $446.68 | |
Aetna
| Professional | $380.19 | $416.87 | $630.96 | |
CareFirst
| Professional | $467.74 | $467.74 | $588.84 | |
Cigna
| Facility | $501.19 | $501.19 | $501.19 | |
Cigna
| Professional | $363.08 | $363.08 | $588.84 | |
Kaiser Permanente
| Professional | $562.34 | $1,202.26 | $1,659.59 | |
United
| Facility | $1,318.26 | $1,318.26 | $1,318.26 | |
United
| Professional | $281.84 | $436.52 | $645.65 |