| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $170.48 | $471.11 | $634.83 | |
Aetna
| Professional | $170.48 | $170.48 | $170.48 | |
CareFirst
| Professional | $45.63 | $779.41 | $1,317.91 | |
Cigna
| Facility | $160.83 | $160.83 | $170.48 | |
Kaiser Permanente
| Professional | $144.91 | $144.91 | $170.48 | |
United
| Professional | $155.13 | $170.48 | $276.31 |