| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $337.34 | $337.34 | $337.34 | |
Aetna
| Professional | $337.34 | $337.34 | $337.34 | |
CareFirst
| Professional | $339.00 | $339.00 | $432.64 | |
Cigna
| Professional | $251.28 | $251.28 | $251.28 | |
Kaiser Permanente
| Professional | $411.37 | $411.37 | $1,256.31 | |
United
| Professional | $210.50 | $315.74 | $480.30 |