| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.88 | $175.18 | $175.18 | |
Aetna
| Professional | $141.88 | $141.88 | $187.34 | |
CareFirst
| Professional | $186.00 | $186.00 | $186.00 | |
Cigna
| Professional | $142.29 | $142.29 | $142.29 | |
Kaiser Permanente
| Professional | $225.33 | $225.33 | $688.15 | |
United
| Professional | $115.30 | $172.94 | $363.78 |