| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $216.55 | $216.55 | $216.55 | |
Aetna
| Professional | $216.55 | $216.55 | $216.55 | |
CareFirst
| Professional | $218.00 | $218.00 | $277.72 | |
Cigna
| Professional | $204.89 | $204.89 | $204.89 | |
Kaiser Permanente
| Professional | $264.07 | $264.07 | $806.45 | |
United
| Professional | $135.12 | $202.68 | $287.13 |