| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.48 | $421.66 | $446.71 | |
Aetna
| Professional | $69.27 | $69.48 | $168.16 | |
CareFirst
| Professional | $81.66 | $86.65 | $144.24 | |
Cigna
| Professional | $64.38 | $96.16 | $244.17 | |
Kaiser Permanente
| Professional | $75.08 | $88.53 | $170.77 | |
United
| Professional | $66.18 | $85.90 | $235.06 |