| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $312.32 | $312.32 | $312.32 | |
Aetna
| Professional | $312.32 | $312.32 | $312.32 | |
CareFirst
| Professional | $314.00 | $314.00 | $400.55 | |
Cigna
| Professional | $276.69 | $276.69 | $276.69 | |
Kaiser Permanente
| Professional | $380.86 | $380.86 | $1,163.13 | |
United
| Professional | $194.88 | $292.32 | $414.12 |