| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $255.00 | $255.00 | $255.00 | |
Aetna
| Professional | $255.00 | $255.00 | $255.00 | |
CareFirst
| Professional | $240.00 | $240.00 | $240.00 | |
Cigna
| Facility | $255.00 | $255.00 | $255.00 | |
Kaiser Permanente
| Professional | $48.12 | $255.00 | $300.00 | |
United
| Professional | $227.50 | $250.00 | $405.20 |