| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $235.14 | $235.14 | $235.14 | |
Aetna
| Professional | $235.14 | $235.14 | $428.86 | |
CareFirst
| Professional | $476.33 | $530.07 | $530.07 | |
Cigna
| Professional | $339.94 | $339.94 | $339.94 | |
Kaiser Permanente
| Professional | $318.89 | $318.89 | $968.24 | |
United
| Professional | $265.00 | $397.49 | $511.36 |