| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $261.14 | $261.14 | $261.14 | |
Aetna
| Professional | $261.14 | $261.14 | $261.14 | |
CareFirst
| Professional | $233.66 | $394.70 | $667.40 | |
Cigna
| Facility | $269.49 | $269.49 | $269.49 | |
Kaiser Permanente
| Professional | $221.98 | $221.98 | $261.14 | |
United
| Professional | $238.21 | $271.89 | $346.32 |