| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.07 | $251.07 | $251.07 | |
Aetna
| Professional | $251.07 | $251.07 | $251.07 | |
CareFirst
| Professional | $329.00 | $329.00 | $419.35 | |
Cigna
| Professional | $239.76 | $239.76 | $239.76 | |
Kaiser Permanente
| Professional | $398.74 | $398.74 | $1,217.73 | |
United
| Professional | $204.03 | $306.04 | $459.83 |