| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $332.38 | $332.38 | $332.38 | |
Aetna
| Professional | $332.38 | $332.38 | $332.38 | |
CareFirst
| Professional | $334.00 | $334.00 | $426.29 | |
Cigna
| Professional | $284.45 | $284.45 | $284.45 | |
Kaiser Permanente
| Professional | $405.33 | $405.33 | $1,237.86 | |
United
| Professional | $207.40 | $311.10 | $440.73 |