| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $196.48 | $196.48 | $196.48 | |
Aetna
| Professional | $167.09 | $196.48 | $196.48 | |
CareFirst
| Professional | $100.00 | $100.00 | $109.00 | |
Cigna
| Professional | $182.29 | $182.29 | $182.29 | |
Kaiser Permanente
| Professional | $257.14 | $297.74 | $499.05 | |
United
| Professional | $112.19 | $323.12 | $722.60 |