| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $225.78 | $225.78 | $225.78 | |
Aetna
| Professional | $190.89 | $225.78 | $225.78 | |
CareFirst
| Professional | $213.44 | $213.44 | $213.44 | |
Cigna
| Professional | $160.94 | $160.94 | $160.94 | |
Kaiser Permanente
| Professional | $300.73 | $613.29 | $613.29 | |
United
| Professional | $96.39 | $144.59 | $241.15 |