| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $190.55 | $194.98 | |
Aetna
| Professional | $186.21 | $213.80 | $389.05 | |
CareFirst
| Professional | $194.98 | $218.78 | $2,884.03 | |
Cigna
| Professional | $234.42 | $323.59 | $870.96 | |
Kaiser Permanente
| Professional | $229.09 | $239.88 | $467.74 | |
United
| Professional | $186.21 | $380.19 | $575.44 |