| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $127.45 | $356.00 | $479.71 | |
Aetna
| Professional | $127.45 | $127.45 | $127.45 | |
CareFirst
| Professional | $126.24 | $207.88 | $351.51 | |
Cigna
| Facility | $120.24 | $120.24 | $127.45 | |
Kaiser Permanente
| Professional | $108.33 | $108.33 | $127.45 | |
United
| Professional | $127.45 | $127.45 | $206.57 |