| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.36 | $151.36 | $151.36 | |
Aetna
| Professional | $131.83 | $151.36 | $199.53 | |
CareFirst
| Professional | $72.44 | $162.18 | $616.60 | |
Cigna
| Professional | $144.54 | $208.93 | $457.09 | |
Kaiser Permanente
| Professional | $165.96 | $177.83 | $371.54 | |
United
| Professional | $125.89 | $194.98 | $457.09 |