| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $238.11 | $238.11 | $238.11 | |
Aetna
| Professional | $238.11 | $238.11 | $238.11 | |
CareFirst
| Professional | $312.00 | $312.00 | $312.00 | |
Cigna
| Professional | $276.61 | $276.61 | $276.61 | |
Kaiser Permanente
| Professional | $378.16 | $378.16 | $1,154.85 | |
United
| Professional | $193.50 | $290.24 | $451.77 |