| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.99 | $396.01 | $533.63 | |
Aetna
| Professional | $140.99 | $140.99 | $140.99 | |
CareFirst
| Professional | $140.43 | $217.93 | $368.50 | |
Cigna
| Facility | $133.01 | $133.01 | $140.99 | |
Kaiser Permanente
| Professional | $119.84 | $119.84 | $140.99 | |
United
| Professional | $139.58 | $156.94 | $207.54 |