| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.81 | $73.81 | $73.81 | |
Aetna
| Professional | $73.81 | $73.81 | $73.81 | |
CareFirst
| Professional | $66.05 | $114.91 | $194.30 | |
Cigna
| Facility | $72.52 | $72.52 | $72.52 | |
Kaiser Permanente
| Professional | $62.75 | $62.75 | $73.81 | |
United
| Professional | $73.08 | $83.42 | $96.09 |