| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.84 | $265.33 | $340.03 | |
Aetna
| Professional | $80.48 | $84.37 | $84.37 | |
CareFirst
| Professional | $77.29 | $92.88 | $340.80 | |
Cigna
| Professional | $83.50 | $111.13 | $318.17 | |
Kaiser Permanente
| Professional | $114.01 | $121.12 | $121.12 | |
United
| Facility | $119.55 | $119.55 | $119.55 | |
United
| Professional | $68.18 | $108.68 | $302.83 |