| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110.16 | $110.16 | $110.16 | |
Aetna
| Professional | $103.45 | $110.16 | $113.25 | |
CareFirst
| Professional | $139.47 | $139.47 | $230.13 | |
Cigna
| Professional | $99.26 | $146.22 | $352.98 | |
Kaiser Permanente
| Professional | $122.56 | $263.98 | $265.47 | |
United
| Professional | $103.07 | $136.50 | $407.42 |