| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $343.34 | $343.34 | $343.34 | |
Aetna
| Professional | $343.34 | $343.34 | $343.34 | |
CareFirst
| Professional | $345.00 | $345.00 | $440.34 | |
Cigna
| Professional | $240.56 | $240.56 | $240.56 | |
Kaiser Permanente
| Professional | $418.70 | $418.70 | $1,278.67 | |
United
| Professional | $214.24 | $321.36 | $455.26 |