| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $232.72 | $232.72 | $232.72 | |
Aetna
| Professional | $232.72 | $232.72 | $232.72 | |
CareFirst
| Professional | $255.09 | $255.09 | $298.45 | |
Cigna
| Professional | $232.40 | $232.40 | $232.40 | |
Kaiser Permanente
| Professional | $283.79 | $283.79 | $866.68 | |
United
| Professional | $145.21 | $217.82 | $372.29 |