| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $221.79 | $221.79 | $221.79 | |
Aetna
| Professional | $221.79 | $221.79 | $221.79 | |
CareFirst
| Professional | $291.00 | $291.00 | $291.00 | |
Cigna
| Professional | $236.74 | $236.74 | $236.74 | |
Kaiser Permanente
| Professional | $352.24 | $352.24 | $1,075.70 | |
United
| Professional | $180.23 | $270.35 | $420.81 |