| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.23 | $134.90 | $1,000.00 | |
Aetna
| Professional | $50.12 | $72.44 | $204.17 | |
CareFirst
| Professional | $34.67 | $66.07 | $309.03 | |
Cigna
| Professional | $51.29 | $77.62 | $154.88 | |
Kaiser Permanente
| Professional | $63.10 | $67.61 | $138.04 | |
United
| Professional | $57.54 | $67.61 | $177.83 |