| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.01 | $82.01 | $164.42 | |
Aetna
| Professional | $164.42 | $164.42 | $164.42 | |
CareFirst
| Professional | $55.10 | $246.18 | $416.27 | |
Cigna
| Facility | $219.62 | $219.62 | $219.62 | |
Kaiser Permanente
| Professional | $139.76 | $139.76 | $164.42 | |
United
| Professional | $162.78 | $214.01 | $282.19 |