| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $232.84 | $232.84 | $232.84 | |
Aetna
| Professional | $232.84 | $232.84 | $232.84 | |
CareFirst
| Professional | $378.47 | $378.47 | $388.90 | |
Cigna
| Professional | $237.52 | $237.52 | $237.52 | |
Kaiser Permanente
| Professional | $369.79 | $369.79 | $1,129.31 | |
United
| Professional | $189.21 | $283.82 | $596.99 |