| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $329.10 | $329.10 | $329.10 | |
Aetna
| Professional | $329.05 | $329.05 | $440.99 | |
CareFirst
| Professional | $329.06 | $329.06 | $329.10 | |
Cigna
| Professional | $329.05 | $329.05 | $419.08 | |
Kaiser Permanente
| Professional | $329.05 | $329.05 | $337.52 | |
United
| Professional | $329.05 | $329.05 | $474.65 |