| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.60 | $397.62 | $535.79 | |
Aetna
| Professional | $141.60 | $141.60 | $141.60 | |
CareFirst
| Professional | $141.00 | $196.98 | $333.07 | |
Cigna
| Facility | $133.59 | $133.59 | $141.60 | |
Kaiser Permanente
| Professional | $120.36 | $120.36 | $141.60 | |
United
| Professional | $128.86 | $141.60 | $229.50 |