| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $192.80 | $304.62 | $800.20 | |
Aetna
| Professional | $168.29 | $192.80 | $222.13 | |
CareFirst
| Professional | $149.71 | $208.09 | $330.86 | |
Cigna
| Professional | $175.04 | $255.72 | $495.86 | |
Kaiser Permanente
| Professional | $175.04 | $184.25 | $405.58 | |
United
| Professional | $165.47 | $201.51 | $403.02 |