| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $214.35 | $965.81 | $1,062.44 | |
Aetna
| Professional | $138.21 | $196.93 | $220.70 | |
CareFirst
| Professional | $148.50 | $165.00 | $272.25 | |
Cigna
| Professional | $261.04 | $635.14 | $879.07 | |
Kaiser Permanente
| Professional | $290.69 | $500.96 | $500.96 | |
United
| Professional | $120.00 | $314.94 | $400.20 |