| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $416.87 | $446.68 | |
Aetna
| Professional | $30.20 | $47.86 | $426.58 | |
CareFirst
| Professional | $3.02 | $3.98 | $6.92 | |
Cigna
| Professional | $138.04 | $213.80 | $302.00 | |
Kaiser Permanente
| Professional | $169.82 | $281.84 | $302.00 | |
United
| Professional | $45.71 | $67.61 | $100.00 |