| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.16 | $411.97 | $501.75 | |
Aetna
| Professional | $131.16 | $131.16 | $131.16 | |
CareFirst
| Professional | $108.88 | $133.66 | $209.50 | |
Cigna
| Facility | $123.73 | $123.73 | $131.16 | |
Kaiser Permanente
| Professional | $111.49 | $111.49 | $131.16 | |
United
| Professional | $129.85 | $139.03 | $192.65 |