| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.92 | $54.51 | $423.91 | |
Aetna
| Professional | $37.92 | $54.51 | $102.79 | |
CareFirst
| Professional | $41.44 | $46.04 | $75.97 | |
Cigna
| Professional | $54.27 | $118.21 | $272.37 | |
Kaiser Permanente
| Professional | $58.90 | $129.66 | $129.66 | |
United
| Professional | $73.33 | $142.29 | $164.20 |