| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.12 | $190.12 | $194.27 | |
Aetna
| Professional | $185.11 | $194.27 | $230.84 | |
CareFirst
| Professional | $230.58 | $256.20 | $422.73 | |
Cigna
| Professional | $223.22 | $499.40 | $870.44 | |
Kaiser Permanente
| Professional | $210.87 | $465.92 | $465.92 | |
United
| Professional | $173.10 | $494.04 | $590.01 |