| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $318.22 | $318.22 | $318.22 | |
Aetna
| Professional | $318.22 | $318.22 | $318.22 | |
CareFirst
| Professional | $363.20 | $363.20 | $408.12 | |
Cigna
| Professional | $281.93 | $281.93 | $281.93 | |
Kaiser Permanente
| Professional | $388.06 | $388.06 | $1,185.13 | |
United
| Professional | $198.56 | $297.85 | $421.95 |