| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.88 | $134.88 | $134.88 | |
Aetna
| Professional | $134.88 | $134.88 | $277.08 | |
CareFirst
| Professional | $264.87 | $304.47 | $304.47 | |
Cigna
| Professional | $220.10 | $220.10 | $220.10 | |
Kaiser Permanente
| Professional | $177.33 | $177.33 | $538.40 | |
United
| Professional | $160.78 | $241.17 | $310.24 |