| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $111.82 | $111.82 | $111.82 | |
Aetna
| Professional | $104.13 | $111.82 | $114.11 | |
CareFirst
| Professional | $186.21 | $189.50 | $312.68 | |
Cigna
| Professional | $100.77 | $145.35 | $417.82 | |
Kaiser Permanente
| Professional | $119.66 | $125.96 | $268.72 | |
United
| Professional | $121.77 | $215.16 | $397.84 |