| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $127.92 | $298.05 | $518.36 | |
Aetna
| Professional | $124.94 | $127.92 | $156.74 | |
CareFirst
| Professional | $152.69 | $152.69 | $200.04 | |
Cigna
| Professional | $138.13 | $190.62 | $540.41 | |
Kaiser Permanente
| Professional | $138.41 | $151.94 | $304.33 | |
United
| Professional | $115.02 | $167.12 | $377.70 |