| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $211.32 | $211.32 | $239.86 | |
Aetna
| Professional | $239.86 | $239.86 | $239.86 | |
CareFirst
| Professional | $239.87 | $239.87 | $239.87 | |
Cigna
| Facility | $263.38 | $263.38 | $263.38 | |
Kaiser Permanente
| Professional | $172.96 | $172.96 | $172.96 | |
United
| Professional | $232.81 | $265.73 | $338.63 |