| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $320.89 | $320.89 | $320.89 | |
Aetna
| Professional | $320.89 | $320.89 | $320.89 | |
CareFirst
| Professional | $323.00 | $323.00 | $355.30 | |
Cigna
| Professional | $278.88 | $278.88 | $278.88 | |
Kaiser Permanente
| Professional | $391.33 | $391.33 | $1,195.10 | |
United
| Professional | $200.24 | $300.36 | $425.51 |