| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.54 | $275.51 | $371.26 | |
Aetna
| Professional | $114.54 | $114.54 | $114.54 | |
CareFirst
| Professional | $97.70 | $186.48 | $315.33 | |
Cigna
| Facility | $108.05 | $108.05 | $114.54 | |
Kaiser Permanente
| Professional | $97.36 | $97.36 | $114.54 | |
United
| Professional | $104.23 | $114.54 | $185.64 |