| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.97 | $153.97 | $153.97 | |
Aetna
| Professional | $143.40 | $153.97 | $153.97 | |
CareFirst
| Professional | $177.56 | $177.56 | $466.85 | |
Cigna
| Professional | $143.77 | $254.79 | $661.95 | |
Kaiser Permanente
| Professional | $170.72 | $197.68 | $368.20 | |
United
| Professional | $125.44 | $159.22 | $451.88 |