| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $241.74 | $241.74 | $241.74 | |
Aetna
| Professional | $241.74 | $241.74 | $241.74 | |
CareFirst
| Professional | $243.00 | $243.00 | $310.02 | |
Cigna
| Professional | $217.40 | $217.40 | $217.40 | |
Kaiser Permanente
| Professional | $294.79 | $294.79 | $900.28 | |
United
| Professional | $150.84 | $226.27 | $344.19 |