| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $278.92 | $278.92 | $278.92 | |
Aetna
| Professional | $278.92 | $278.92 | $278.92 | |
CareFirst
| Professional | $281.00 | $281.00 | $357.71 | |
Cigna
| Professional | $247.11 | $247.11 | $247.11 | |
Kaiser Permanente
| Professional | $340.13 | $340.13 | $1,038.75 | |
United
| Professional | $174.04 | $261.06 | $369.84 |