| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.26 | $137.26 | $137.26 | |
Aetna
| Professional | $137.26 | $137.26 | $137.26 | |
CareFirst
| Professional | $214.22 | $214.22 | $229.25 | |
Cigna
| Professional | $140.34 | $140.34 | $140.34 | |
Kaiser Permanente
| Professional | $217.98 | $217.98 | $665.71 | |
United
| Professional | $111.54 | $167.30 | $251.37 |