| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $230.09 | $230.09 | $230.09 | |
Aetna
| Professional | $230.09 | $230.09 | $230.09 | |
CareFirst
| Professional | $231.00 | $231.00 | $295.08 | |
Cigna
| Professional | $203.86 | $203.86 | $203.86 | |
Kaiser Permanente
| Professional | $280.58 | $280.58 | $856.91 | |
United
| Professional | $143.57 | $215.36 | $305.08 |