| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.59 | $360.92 | $360.92 | |
Aetna
| Professional | $29.58 | $86.59 | $86.59 | |
CareFirst
| Professional | $38.50 | $38.50 | $41.97 | |
Cigna
| Professional | $27.49 | $64.31 | $219.26 | |
Kaiser Permanente
| Professional | $86.35 | $195.77 | $195.77 | |
United
| Professional | $30.85 | $91.65 | $99.02 |