| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $233.35 | $233.35 | $233.35 | |
Aetna
| Professional | $233.35 | $233.35 | $233.35 | |
CareFirst
| Professional | $235.00 | $235.00 | $299.26 | |
Cigna
| Professional | $205.28 | $205.28 | $205.28 | |
Kaiser Permanente
| Professional | $284.56 | $284.56 | $869.02 | |
United
| Professional | $145.60 | $218.41 | $332.23 |