| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $265.43 | $265.43 | $265.43 | |
Aetna
| Professional | $265.43 | $265.43 | $302.41 | |
CareFirst
| Professional | $348.00 | $348.00 | $348.00 | |
Cigna
| Professional | $233.42 | $233.42 | $233.42 | |
Kaiser Permanente
| Professional | $421.55 | $421.55 | $1,287.39 | |
United
| Professional | $215.70 | $323.54 | $486.12 |