| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $315.00 | $419.67 | $635.29 | |
Aetna
| Professional | $165.02 | $173.42 | $173.42 | |
CareFirst
| Professional | $157.33 | $186.02 | $340.80 | |
Cigna
| Professional | $173.38 | $228.99 | $647.65 | |
Kaiser Permanente
| Professional | $234.49 | $249.58 | $249.58 | |
United
| Professional | $152.16 | $237.62 | $621.30 |