| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.39 | $92.39 | $92.39 | |
Aetna
| Professional | $89.31 | $92.39 | $92.39 | |
CareFirst
| Professional | $98.68 | $98.68 | $201.70 | |
Cigna
| Professional | $91.47 | $107.96 | $278.60 | |
Kaiser Permanente
| Professional | $98.29 | $104.13 | $104.13 | |
United
| Professional | $72.87 | $125.65 | $273.76 |