| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.25 | $159.25 | $159.25 | |
Aetna
| Professional | $96.82 | $156.78 | $159.25 | |
CareFirst
| Professional | $99.00 | $110.00 | $181.50 | |
Cigna
| Professional | $183.73 | $468.47 | $593.66 | |
Kaiser Permanente
| Professional | $224.74 | $371.72 | $371.72 | |
United
| Professional | $71.25 | $129.00 | $266.81 |