| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $231.27 | $231.27 | $231.27 | |
Aetna
| Professional | $231.27 | $231.27 | $231.27 | |
CareFirst
| Professional | $263.98 | $263.98 | $263.98 | |
Cigna
| Professional | $209.36 | $209.36 | $209.36 | |
Kaiser Permanente
| Professional | $282.04 | $282.04 | $861.32 | |
United
| Professional | $144.31 | $216.47 | $369.98 |