| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $149.83 | $149.83 | $149.83 | |
Aetna
| Professional | $149.83 | $149.83 | $149.83 | |
CareFirst
| Professional | $176.27 | $176.27 | $176.27 | |
Cigna
| Facility | $164.66 | $164.66 | $164.66 | |
Kaiser Permanente
| Professional | $153.12 | $153.12 | $153.12 | |
United
| Professional | $145.55 | $166.13 | $211.52 |