| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $232.45 | $232.45 | $237.29 | |
Aetna
| Professional | $230.52 | $237.29 | $562.52 | |
CareFirst
| Professional | $283.20 | $314.67 | $519.21 | |
Cigna
| Professional | $274.29 | $613.91 | $1,066.09 | |
Kaiser Permanente
| Professional | $259.13 | $564.16 | $564.16 | |
United
| Professional | $214.60 | $345.88 | $714.42 |