| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $308.24 | $308.24 | $308.24 | |
Aetna
| Professional | $112.50 | $308.24 | $308.24 | |
CareFirst
| Professional | $185.80 | $335.00 | $418.75 | |
Cigna
| Professional | $305.12 | $415.70 | $876.03 | |
Kaiser Permanente
| Professional | $335.16 | $370.44 | $722.79 | |
United
| Professional | $218.98 | $269.02 | $792.90 |