| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.47 | $159.68 | $274.94 | |
Aetna
| Professional | $133.47 | $133.47 | $133.47 | |
CareFirst
| Professional | $119.43 | $207.77 | $351.32 | |
Cigna
| Facility | $131.13 | $131.13 | $131.13 | |
Kaiser Permanente
| Professional | $113.45 | $113.45 | $133.47 | |
United
| Professional | $115.91 | $132.30 | $168.60 |