| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.47 | $144.47 | $144.47 | |
Aetna
| Professional | $144.47 | $144.47 | $144.47 | |
CareFirst
| Professional | $189.00 | $189.00 | $241.32 | |
Cigna
| Professional | $167.54 | $167.54 | $167.54 | |
Kaiser Permanente
| Professional | $229.46 | $229.46 | $700.75 | |
United
| Professional | $117.41 | $176.11 | $264.61 |