| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $210.66 | $210.66 | $210.66 | |
Aetna
| Professional | $210.66 | $210.66 | $210.66 | |
CareFirst
| Professional | $220.65 | $221.48 | $270.17 | |
Cigna
| Professional | $194.57 | $194.57 | $194.57 | |
Kaiser Permanente
| Professional | $256.89 | $256.89 | $784.54 | |
United
| Professional | $131.44 | $197.17 | $337.00 |