| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.75 | $140.75 | $140.75 | |
Aetna
| Professional | $140.75 | $140.75 | $140.75 | |
CareFirst
| Professional | $101.81 | $219.09 | $370.46 | |
Cigna
| Facility | $161.82 | $161.82 | $161.82 | |
Kaiser Permanente
| Professional | $119.64 | $119.64 | $140.75 | |
United
| Professional | $143.04 | $167.37 | $188.06 |