| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.67 | $275.67 | $275.67 | |
Aetna
| Professional | $275.67 | $275.67 | $275.67 | |
CareFirst
| Professional | $277.00 | $277.00 | $277.00 | |
Cigna
| Professional | $266.04 | $266.04 | $266.04 | |
Kaiser Permanente
| Professional | $336.17 | $336.17 | $1,026.64 | |
United
| Professional | $172.01 | $258.02 | $365.53 |