| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $315.43 | $315.43 | $315.43 | |
Aetna
| Professional | $315.43 | $315.43 | $315.43 | |
CareFirst
| Professional | $317.00 | $317.00 | $317.00 | |
Cigna
| Professional | $292.57 | $292.57 | $292.57 | |
Kaiser Permanente
| Professional | $384.66 | $384.66 | $1,174.72 | |
United
| Professional | $196.82 | $295.24 | $418.25 |