| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.71 | $111.00 | $117.65 | |
Aetna
| Professional | $95.08 | $99.71 | $99.71 | |
CareFirst
| Professional | $67.91 | $97.61 | $97.61 | |
Cigna
| Professional | $77.00 | $118.15 | $301.36 | |
Kaiser Permanente
| Professional | $106.28 | $113.72 | $113.72 | |
United
| Professional | $72.94 | $134.25 | $299.19 |