| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $280.50 | $280.50 | $280.50 | |
Aetna
| Professional | $297.33 | $297.33 | $319.77 | |
CareFirst
| Professional | $280.50 | $280.50 | $297.33 | |
Cigna
| Professional | $326.48 | $326.48 | $326.48 | |
Kaiser Permanente
| Professional | $257.00 | $257.00 | $257.00 | |
United
| Professional | $297.25 | $349.80 | $349.80 | |
Wellpoint
| Professional | $280.00 | $280.00 | $280.00 |