| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $168.44 | $168.44 | $168.44 | |
Aetna
| Professional | $168.44 | $168.44 | $247.18 | |
CareFirst
| Professional | $221.00 | $221.00 | $281.33 | |
Cigna
| Professional | $193.04 | $193.04 | $193.04 | |
Kaiser Permanente
| Professional | $267.51 | $267.51 | $816.94 | |
United
| Professional | $136.88 | $205.32 | $308.49 |