| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.48 | $263.48 | $263.48 | |
Aetna
| Professional | $263.48 | $263.48 | $263.48 | |
CareFirst
| Professional | $265.00 | $265.00 | $337.91 | |
Cigna
| Professional | $181.08 | $181.08 | $181.08 | |
Kaiser Permanente
| Professional | $321.31 | $321.31 | $981.25 | |
United
| Professional | $164.41 | $246.61 | $349.37 |