| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $180.08 | $180.08 | $180.08 | |
Aetna
| Professional | $180.08 | $180.08 | $180.08 | |
CareFirst
| Professional | $148.75 | $148.75 | $182.15 | |
Cigna
| Professional | $130.22 | $130.22 | $130.22 | |
Kaiser Permanente
| Professional | $528.95 | $528.95 | $528.95 | |
United
| Professional | $88.63 | $132.94 | $233.48 |