| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.72 | $137.72 | $137.72 | |
Aetna
| Professional | $137.19 | $137.72 | $144.38 | |
CareFirst
| Professional | $153.91 | $171.01 | $195.15 | |
Cigna
| Professional | $125.82 | $308.17 | $434.49 | |
Kaiser Permanente
| Professional | $139.46 | $319.19 | $319.19 | |
United
| Professional | $120.87 | $204.61 | $427.66 |