| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.22 | $484.87 | $653.37 | |
Aetna
| Professional | $172.22 | $172.22 | $172.22 | |
CareFirst
| Professional | $171.94 | $245.11 | $414.45 | |
Cigna
| Facility | $162.47 | $162.47 | $172.22 | |
Kaiser Permanente
| Professional | $146.38 | $146.38 | $172.22 | |
United
| Professional | $156.72 | $172.22 | $279.13 |