| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.76 | $535.10 | $721.05 | |
Aetna
| Professional | $193.76 | $193.76 | $193.76 | |
CareFirst
| Professional | $189.75 | $284.33 | $480.77 | |
Cigna
| Facility | $182.79 | $182.79 | $193.76 | |
Kaiser Permanente
| Professional | $164.70 | $164.70 | $193.76 | |
United
| Professional | $193.76 | $193.76 | $314.04 |