| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.92 | $191.92 | $191.92 | |
Aetna
| Professional | $191.92 | $191.92 | $191.92 | |
CareFirst
| Professional | $144.53 | $230.69 | $390.07 | |
Cigna
| Facility | $188.55 | $188.55 | $188.55 | |
Kaiser Permanente
| Professional | $163.13 | $163.13 | $191.92 | |
United
| Professional | $166.67 | $190.24 | $242.42 |