| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.44 | $140.44 | $140.44 | |
Aetna
| Professional | $140.44 | $140.44 | $140.44 | |
CareFirst
| Professional | $160.30 | $160.30 | $180.12 | |
Cigna
| Professional | $116.22 | $116.22 | $116.22 | |
Kaiser Permanente
| Professional | $171.27 | $171.27 | $523.03 | |
United
| Professional | $87.63 | $131.44 | $186.22 |