| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $248.48 | $338.60 | $542.75 | |
Aetna
| Professional | $169.96 | $169.96 | $169.96 | |
CareFirst
| Professional | $169.96 | $169.96 | $169.96 | |
Cigna
| Facility | $186.76 | $186.76 | $186.76 | |
Kaiser Permanente
| Professional | $615.66 | $615.66 | $615.66 | |
United
| Professional | $165.08 | $188.43 | $239.94 |