| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $287.12 | $287.12 | $287.12 | |
Aetna
| Professional | $287.12 | $287.12 | $287.12 | |
CareFirst
| Professional | $289.00 | $289.00 | $368.23 | |
Cigna
| Professional | $287.52 | $287.52 | $287.52 | |
Kaiser Permanente
| Professional | $350.13 | $350.13 | $1,069.28 | |
United
| Professional | $179.16 | $268.73 | $459.32 |