| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $339.45 | $339.45 | $339.45 | |
Aetna
| Professional | $339.45 | $339.45 | $339.45 | |
CareFirst
| Professional | $341.00 | $341.00 | $341.00 | |
Cigna
| Professional | $290.50 | $290.50 | $290.50 | |
Kaiser Permanente
| Professional | $413.95 | $413.95 | $1,264.18 | |
United
| Professional | $211.81 | $317.70 | $450.09 |