| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.66 | $141.66 | $141.66 | |
Aetna
| Professional | $141.66 | $141.66 | $141.66 | |
CareFirst
| Professional | $210.55 | $210.55 | $236.61 | |
Cigna
| Professional | $144.50 | $144.50 | $144.50 | |
Kaiser Permanente
| Professional | $224.98 | $224.98 | $687.07 | |
United
| Professional | $115.11 | $172.67 | $323.26 |