| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $161.19 | $161.19 | $161.19 | |
Aetna
| Professional | $161.19 | $161.19 | $161.19 | |
CareFirst
| Professional | $211.00 | $211.00 | $269.23 | |
Cigna
| Professional | $179.66 | $179.66 | $179.66 | |
Kaiser Permanente
| Professional | $256.00 | $256.00 | $781.82 | |
United
| Professional | $130.99 | $196.49 | $295.22 |