| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.69 | $140.69 | $140.69 | |
Aetna
| Professional | $140.69 | $140.69 | $140.69 | |
CareFirst
| Professional | $209.15 | $209.15 | $235.00 | |
Cigna
| Professional | $155.47 | $155.47 | $155.47 | |
Kaiser Permanente
| Professional | $223.46 | $223.46 | $682.42 | |
United
| Professional | $114.34 | $171.50 | $257.68 |