| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $258.49 | $258.49 | $258.49 | |
Aetna
| Professional | $258.49 | $258.49 | $258.49 | |
CareFirst
| Professional | $339.00 | $339.00 | $431.73 | |
Cigna
| Professional | $241.65 | $241.65 | $241.65 | |
Kaiser Permanente
| Professional | $410.51 | $410.51 | $1,253.69 | |
United
| Professional | $210.05 | $315.08 | $473.40 |