| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $219.64 | $219.64 | $219.64 | |
Aetna
| Professional | $219.64 | $219.64 | $219.64 | |
CareFirst
| Professional | $288.00 | $288.00 | $366.86 | |
Cigna
| Professional | $244.80 | $244.80 | $244.80 | |
Kaiser Permanente
| Professional | $348.83 | $348.83 | $1,065.30 | |
United
| Professional | $178.49 | $267.73 | $416.74 |