| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.52 | $80.52 | $80.52 | |
Aetna
| Professional | $27.49 | $80.52 | $80.52 | |
CareFirst
| Professional | $89.31 | $89.31 | $91.99 | |
Cigna
| Professional | $66.80 | $80.00 | $245.11 | |
Kaiser Permanente
| Professional | $79.50 | $187.11 | $187.11 | |
United
| Professional | $34.50 | $61.53 | $180.66 |