| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $202.18 | $202.18 | $202.18 | |
Aetna
| Professional | $202.18 | $202.18 | $202.18 | |
CareFirst
| Professional | $265.00 | $265.00 | $265.00 | |
Cigna
| Professional | $282.89 | $282.89 | $282.89 | |
Kaiser Permanente
| Professional | $321.10 | $321.10 | $980.62 | |
United
| Professional | $164.30 | $246.45 | $370.29 |