| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.50 | $113.50 | $113.50 | |
Aetna
| Professional | $110.91 | $116.51 | $156.74 | |
CareFirst
| Professional | $158.94 | $158.94 | $208.21 | |
Cigna
| Professional | $114.14 | $145.11 | $505.38 | |
Kaiser Permanente
| Professional | $109.51 | $128.83 | $268.66 | |
United
| Professional | $90.43 | $116.74 | $323.20 |