| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.83 | $158.49 | $178.52 | |
Aetna
| Professional | $134.83 | $134.83 | $134.83 | |
CareFirst
| Professional | $134.83 | $134.83 | $134.83 | |
Cigna
| Facility | $148.32 | $148.32 | $148.32 | |
Kaiser Permanente
| Professional | $186.44 | $186.44 | $186.44 | |
United
| Professional | $131.11 | $149.65 | $190.34 |