| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $179.64 | $179.64 | $179.64 | |
Aetna
| Professional | $179.64 | $179.64 | $179.64 | |
CareFirst
| Professional | $181.00 | $188.87 | $230.38 | |
Cigna
| Professional | $161.38 | $161.38 | $161.38 | |
Kaiser Permanente
| Professional | $219.06 | $219.06 | $669.00 | |
United
| Professional | $112.09 | $168.14 | $238.20 |