| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $258.58 | $258.58 | $258.58 | |
Aetna
| Professional | $258.58 | $258.58 | $258.58 | |
CareFirst
| Professional | $259.77 | $259.77 | $331.65 | |
Cigna
| Professional | $234.70 | $234.70 | $234.70 | |
Kaiser Permanente
| Professional | $315.35 | $315.35 | $963.05 | |
United
| Professional | $161.36 | $242.03 | $413.69 |