| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $251.19 | $323.59 | |
Aetna
| Professional | $60.26 | $83.18 | $269.15 | |
CareFirst
| Professional | $87.10 | $181.97 | $602.56 | |
Cigna
| Professional | $91.20 | $112.20 | $323.59 | |
Kaiser Permanente
| Professional | $123.03 | $123.03 | $181.97 | |
United
| Facility | $74.13 | $123.03 | $123.03 | |
United
| Professional | $74.13 | $112.20 | $281.84 |