| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $244.51 | $244.51 | $244.51 | |
Aetna
| Professional | $244.51 | $244.51 | $244.51 | |
CareFirst
| Professional | $256.08 | $256.08 | $313.58 | |
Cigna
| Professional | $214.82 | $214.82 | $214.82 | |
Kaiser Permanente
| Professional | $298.17 | $298.17 | $910.61 | |
United
| Professional | $152.57 | $228.86 | $324.22 |