| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $267.70 | $267.70 | $267.70 | |
Aetna
| Professional | $267.70 | $267.70 | $267.70 | |
CareFirst
| Professional | $351.00 | $351.00 | $447.13 | |
Cigna
| Professional | $298.36 | $298.36 | $298.36 | |
Kaiser Permanente
| Professional | $425.16 | $425.16 | $1,298.41 | |
United
| Professional | $217.55 | $326.32 | $419.79 |