| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.94 | $194.94 | $194.94 | |
Aetna
| Professional | $194.94 | $194.94 | $194.94 | |
CareFirst
| Professional | $255.00 | $255.00 | $325.60 | |
Cigna
| Professional | $217.26 | $217.26 | $217.26 | |
Kaiser Permanente
| Professional | $309.60 | $309.60 | $945.49 | |
United
| Professional | $158.41 | $237.62 | $357.03 |