| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.50 | $260.11 | $260.11 | |
Aetna
| Professional | $125.50 | $125.50 | $125.50 | |
CareFirst
| Professional | $106.49 | $106.49 | $106.49 | |
Cigna
| Facility | $137.94 | $137.94 | $137.94 | |
Kaiser Permanente
| Professional | $203.90 | $203.90 | $203.90 | |
United
| Professional | $146.16 | $147.65 | $192.18 |