| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $192.87 | $466.74 | $834.81 | |
Aetna
| Professional | $192.87 | $192.87 | $192.87 | |
CareFirst
| Professional | $253.00 | $253.00 | $322.14 | |
Cigna
| Professional | $214.12 | $214.12 | $214.12 | |
Kaiser Permanente
| Professional | $306.31 | $306.31 | $935.45 | |
United
| Facility | $696.97 | $696.97 | $696.97 | |
United
| Professional | $156.74 | $235.10 | $353.24 |