| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.68 | $446.68 | $446.68 | |
Aetna
| Professional | $107.15 | $131.83 | $436.52 | |
CareFirst
| Professional | $144.54 | $158.49 | $416.87 | |
Cigna
| Professional | $112.20 | $158.49 | $426.58 | |
Kaiser Permanente
| Professional | $117.49 | $125.89 | $295.12 | |
United
| Facility | $104.71 | $104.71 | $104.71 | |
United
| Professional | $104.71 | $147.91 | $309.03 |