| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $284.27 | $284.27 | $284.27 | |
Aetna
| Professional | $284.27 | $284.27 | $284.27 | |
CareFirst
| Professional | $286.00 | $298.89 | $364.59 | |
Cigna
| Professional | $248.51 | $248.51 | $248.51 | |
Kaiser Permanente
| Professional | $346.67 | $346.67 | $1,058.71 | |
United
| Professional | $177.38 | $266.08 | $376.94 |