| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.01 | $190.01 | $190.01 | |
Aetna
| Professional | $164.43 | $190.01 | $381.50 | |
CareFirst
| Professional | $232.46 | $232.46 | $309.17 | |
Cigna
| Professional | $172.16 | $228.57 | $857.57 | |
Kaiser Permanente
| Professional | $185.87 | $218.67 | $452.58 | |
United
| Professional | $135.80 | $169.88 | $500.75 |