| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $155.30 | $155.30 | $155.30 | |
Aetna
| Professional | $155.30 | $155.30 | $227.90 | |
CareFirst
| Professional | $203.00 | $203.00 | $259.39 | |
Cigna
| Professional | $173.08 | $173.08 | $173.08 | |
Kaiser Permanente
| Professional | $246.64 | $246.64 | $753.22 | |
United
| Professional | $126.20 | $189.30 | $284.42 |