| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $127.55 | $135.26 | $297.19 | |
Aetna
| Professional | $127.55 | $127.55 | $127.55 | |
CareFirst
| Professional | $143.32 | $143.32 | $143.32 | |
Cigna
| Facility | $134.47 | $134.47 | $134.47 | |
Kaiser Permanente
| Professional | $153.12 | $153.12 | $153.12 | |
United
| Professional | $118.86 | $134.99 | $161.99 |