| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $231.83 | $231.83 | $231.83 | |
Aetna
| Professional | $231.83 | $231.83 | $231.83 | |
CareFirst
| Professional | $233.00 | $233.00 | $297.32 | |
Cigna
| Professional | $198.39 | $198.39 | $198.39 | |
Kaiser Permanente
| Professional | $282.70 | $282.70 | $863.37 | |
United
| Professional | $144.66 | $216.98 | $307.39 |