| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $194.98 | $213.80 | |
Aetna
| Professional | $89.13 | $104.71 | $302.00 | |
CareFirst
| Professional | $15.14 | $42.66 | $48.98 | |
Cigna
| Professional | $104.71 | $104.71 | $131.83 | |
Kaiser Permanente
| Professional | $309.03 | $309.03 | $309.03 | |
United
| Facility | $20.89 | $20.89 | $20.89 |