| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $148.41 | $148.41 | $148.41 | |
Aetna
| Professional | $148.41 | $148.41 | $148.41 | |
CareFirst
| Professional | $149.00 | $149.00 | $190.35 | |
Cigna
| Professional | $129.68 | $129.68 | $129.68 | |
Kaiser Permanente
| Professional | $181.00 | $181.00 | $552.75 | |
United
| Professional | $92.62 | $138.91 | $196.81 |