| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $230.15 | $649.33 | $874.99 | |
Aetna
| Professional | $230.15 | $230.15 | $230.15 | |
CareFirst
| Professional | $230.16 | $347.01 | $586.76 | |
Cigna
| Facility | $217.13 | $217.13 | $230.15 | |
Kaiser Permanente
| Professional | $195.63 | $195.63 | $230.15 | |
United
| Professional | $209.44 | $230.15 | $373.02 |