| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.15 | $75.15 | $75.15 | |
Aetna
| Professional | $75.15 | $75.15 | $75.15 | |
CareFirst
| Professional | $82.42 | $116.97 | $197.78 | |
Cigna
| Facility | $80.88 | $80.88 | $80.88 | |
Kaiser Permanente
| Professional | $63.88 | $63.88 | $75.15 | |
United
| Professional | $71.48 | $72.20 | $103.81 |