| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.95 | $193.50 | $232.97 | |
Aetna
| Professional | $78.69 | $79.95 | $85.83 | |
CareFirst
| Professional | $57.49 | $85.41 | $85.41 | |
Cigna
| Professional | $80.95 | $89.13 | $261.79 | |
Kaiser Permanente
| Professional | $90.97 | $92.46 | $97.14 | |
United
| Professional | $70.06 | $101.74 | $256.33 |