| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.20 | $112.20 | $1,230.27 | |
Aetna
| Professional | $112.20 | $114.82 | $120.23 | |
CareFirst
| Professional | $144.54 | $158.49 | $173.78 | |
Cigna
| Facility | $239.88 | $338.84 | $562.34 | |
Kaiser Permanente
| Professional | $229.09 | $288.40 | $302.00 | |
United
| Facility | $239.88 | $239.88 | $239.88 | |
United
| Professional | $63.10 | $74.13 | $208.93 |