| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $175.64 | $175.64 | $175.64 | |
Aetna
| Professional | $175.64 | $175.64 | $175.64 | |
CareFirst
| Professional | $230.00 | $230.00 | $293.36 | |
Cigna
| Professional | $230.48 | $230.48 | $230.48 | |
Kaiser Permanente
| Professional | $278.94 | $278.94 | $851.86 | |
United
| Professional | $142.72 | $214.10 | $333.24 |