| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.81 | $66.81 | $66.81 | |
Aetna
| Professional | $55.85 | $66.81 | $66.81 | |
CareFirst
| Professional | $65.56 | $65.56 | $81.96 | |
Cigna
| Professional | $84.67 | $84.67 | $101.44 | |
Kaiser Permanente
| Professional | $58.84 | $70.23 | $136.88 | |
United
| Professional | $49.64 | $80.34 | $143.63 |