| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $230.37 | $230.37 | $230.37 | |
Aetna
| Professional | $230.37 | $230.37 | $230.37 | |
CareFirst
| Professional | $314.23 | $314.23 | $384.78 | |
Cigna
| Professional | $253.65 | $253.65 | $253.65 | |
Kaiser Permanente
| Professional | $365.87 | $365.87 | $1,117.33 | |
United
| Professional | $187.20 | $280.81 | $437.09 |