| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $243.10 | $243.10 | $243.10 | |
Aetna
| Professional | $243.10 | $243.10 | $243.10 | |
CareFirst
| Professional | $331.60 | $331.60 | $406.04 | |
Cigna
| Professional | $277.85 | $277.85 | $277.85 | |
Kaiser Permanente
| Professional | $386.09 | $386.09 | $1,179.08 | |
United
| Professional | $197.55 | $296.33 | $445.23 |