| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $198.59 | $198.59 | $198.59 | |
Aetna
| Professional | $198.59 | $198.59 | $265.68 | |
CareFirst
| Professional | $260.00 | $260.00 | $260.00 | |
Cigna
| Professional | $251.87 | $251.87 | $251.87 | |
Kaiser Permanente
| Professional | $315.39 | $315.39 | $963.19 | |
United
| Professional | $161.38 | $242.07 | $376.80 |