| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $326.10 | $326.10 | $326.10 | |
Aetna
| Professional | $326.10 | $326.10 | $326.10 | |
CareFirst
| Professional | $367.91 | $367.91 | $367.91 | |
Cigna
| Professional | $296.02 | $296.02 | $296.02 | |
Kaiser Permanente
| Professional | $397.67 | $397.67 | $1,214.46 | |
United
| Professional | $203.48 | $305.20 | $521.67 |