| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.99 | $479.12 | $624.33 | |
Aetna
| Professional | $257.99 | $257.99 | $257.99 | |
CareFirst
| Professional | $271.57 | $401.59 | $679.06 | |
Cigna
| Facility | $253.60 | $253.60 | $253.60 | |
Kaiser Permanente
| Professional | $219.29 | $219.29 | $257.99 | |
United
| Professional | $255.41 | $271.57 | $335.80 |