| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $289.08 | $289.08 | $289.08 | |
Aetna
| Professional | $289.08 | $289.08 | $289.08 | |
CareFirst
| Professional | $155.88 | $246.20 | $416.30 | |
Cigna
| Facility | $289.08 | $289.08 | $289.08 | |
Kaiser Permanente
| Professional | $312.95 | $312.95 | $312.95 | |
United
| Professional | $257.91 | $283.42 | $461.10 |