| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $145.58 | $145.58 | $147.65 | |
Aetna
| Professional | $141.65 | $147.65 | $284.20 | |
CareFirst
| Professional | $175.25 | $194.72 | $321.29 | |
Cigna
| Professional | $173.91 | $375.16 | $676.21 | |
Kaiser Permanente
| Professional | $164.29 | $360.97 | $360.97 | |
United
| Professional | $130.43 | $195.22 | $457.11 |