| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $198.98 | $481.53 | $1,172.99 | |
Aetna
| Professional | $198.98 | $198.98 | $198.98 | |
CareFirst
| Professional | $310.55 | $310.55 | $332.35 | |
Cigna
| Professional | $202.97 | $202.97 | $202.97 | |
Kaiser Permanente
| Professional | $316.01 | $316.01 | $965.09 | |
United
| Professional | $161.69 | $242.54 | $471.16 |