| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $630.00 | $666.00 | |
Aetna
| Professional | $30.00 | $30.00 | $480.00 | |
CareFirst
| Professional | $207.50 | $207.50 | $207.50 | |
Cigna
| Professional | $55.45 | $360.00 | $499.35 | |
Kaiser Permanente
| Professional | $380.00 | $380.00 | $380.00 |