| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.00 | $129.59 | $250.88 | |
Aetna
| Professional | $96.41 | $99.00 | $154.41 | |
CareFirst
| Professional | $113.03 | $125.59 | $136.88 | |
Cigna
| Professional | $113.32 | $259.02 | $441.69 | |
Kaiser Permanente
| Professional | $107.05 | $234.11 | $234.11 | |
United
| Professional | $82.85 | $134.79 | $305.70 |