| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.00 | $422.24 | $668.12 | |
Aetna
| Professional | $181.22 | $181.22 | $181.22 | |
CareFirst
| Professional | $175.82 | $276.42 | $467.41 | |
Cigna
| Facility | $170.96 | $170.96 | $181.22 | |
Kaiser Permanente
| Professional | $154.04 | $154.04 | $181.22 | |
United
| Professional | $164.91 | $181.22 | $293.72 |