| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.31 | $186.31 | $186.31 | |
Aetna
| Professional | $186.31 | $186.31 | $186.31 | |
CareFirst
| Professional | $187.01 | $187.01 | $187.01 | |
Cigna
| Professional | $169.11 | $169.11 | $169.11 | |
Kaiser Permanente
| Professional | $227.19 | $227.19 | $693.84 | |
United
| Professional | $116.25 | $174.38 | $247.04 |