| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $246.44 | $246.44 | $246.44 | |
Aetna
| Professional | $246.44 | $246.44 | $246.44 | |
CareFirst
| Professional | $248.00 | $248.00 | $248.00 | |
Cigna
| Professional | $267.37 | $267.37 | $267.37 | |
Kaiser Permanente
| Professional | $300.52 | $300.52 | $917.78 | |
United
| Professional | $153.77 | $230.66 | $350.88 |