| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $228.03 | $228.03 | $228.03 | |
Aetna
| Professional | $228.03 | $228.03 | $334.62 | |
CareFirst
| Professional | $299.00 | $299.00 | $380.87 | |
Cigna
| Professional | $272.20 | $272.20 | $272.20 | |
Kaiser Permanente
| Professional | $362.15 | $362.15 | $1,105.99 | |
United
| Professional | $185.30 | $277.95 | $584.66 |