| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.62 | $126.04 | $996.00 | |
Aetna
| Professional | $122.41 | $127.98 | $188.54 | |
CareFirst
| Professional | $150.81 | $167.56 | $276.47 | |
Cigna
| Professional | $145.50 | $319.73 | $563.99 | |
Kaiser Permanente
| Professional | $137.46 | $302.67 | $302.67 | |
United
| Professional | $110.92 | $283.63 | $383.28 |