| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $230.92 | $230.92 | $230.92 | |
Aetna
| Professional | $215.51 | $230.92 | $235.00 | |
CareFirst
| Professional | $20.00 | $261.94 | $327.43 | |
Cigna
| Professional | $227.26 | $278.36 | $657.86 | |
Kaiser Permanente
| Professional | $250.83 | $277.23 | $540.74 | |
United
| Professional | $179.01 | $253.58 | $619.54 |