| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $237.84 | $237.84 | $237.84 | |
Aetna
| Professional | $237.84 | $237.84 | $237.84 | |
CareFirst
| Professional | $312.00 | $312.00 | $397.24 | |
Cigna
| Professional | $276.70 | $276.70 | $276.70 | |
Kaiser Permanente
| Professional | $377.72 | $377.72 | $1,153.54 | |
United
| Professional | $193.27 | $289.91 | $435.59 |