| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $319.55 | $319.55 | $319.55 | |
Aetna
| Professional | $319.55 | $319.55 | $319.55 | |
CareFirst
| Professional | $321.00 | $321.00 | $409.82 | |
Cigna
| Professional | $353.21 | $353.21 | $353.21 | |
Kaiser Permanente
| Professional | $389.68 | $389.68 | $1,190.06 | |
United
| Professional | $199.39 | $299.08 | $423.71 |