| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $198.33 | $427.49 | $881.32 | |
Aetna
| Professional | $182.45 | $182.45 | $182.45 | |
CareFirst
| Professional | $182.45 | $294.92 | $498.68 | |
Cigna
| Facility | $172.12 | $172.12 | $182.45 | |
Kaiser Permanente
| Professional | $155.08 | $155.08 | $182.45 | |
United
| Professional | $166.03 | $182.45 | $295.70 |