| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.04 | $83.04 | $852.52 | |
Aetna
| Professional | $83.04 | $83.48 | $198.17 | |
CareFirst
| Professional | $105.58 | $105.58 | $271.48 | |
Cigna
| Professional | $76.45 | $120.14 | $353.00 | |
Kaiser Permanente
| Professional | $88.70 | $105.12 | $202.31 | |
United
| Professional | $77.23 | $100.36 | $278.49 |