| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $197.85 | $197.85 | $197.85 | |
Aetna
| Professional | $197.85 | $197.85 | $197.85 | |
CareFirst
| Professional | $199.00 | $199.00 | $253.74 | |
Cigna
| Professional | $148.56 | $148.56 | $148.56 | |
Kaiser Permanente
| Professional | $241.27 | $241.27 | $736.83 | |
United
| Professional | $123.45 | $185.18 | $238.22 |