| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $349.04 | $349.04 | $349.04 | |
Aetna
| Professional | $349.04 | $349.04 | $349.04 | |
CareFirst
| Professional | $351.00 | $366.98 | $447.65 | |
Cigna
| Professional | $342.13 | $342.13 | $342.13 | |
Kaiser Permanente
| Professional | $425.65 | $425.65 | $1,299.91 | |
United
| Professional | $217.80 | $326.69 | $462.82 |