| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $205.53 | $205.53 | $205.53 | |
Aetna
| Professional | $205.53 | $205.53 | $205.53 | |
CareFirst
| Professional | $269.00 | $269.00 | $343.29 | |
Cigna
| Professional | $229.07 | $229.07 | $229.07 | |
Kaiser Permanente
| Professional | $326.42 | $326.42 | $996.86 | |
United
| Professional | $167.02 | $250.53 | $389.96 |