| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.87 | $169.15 | $190.32 | |
Aetna
| Professional | $75.87 | $75.87 | $75.87 | |
CareFirst
| Professional | $103.43 | $103.43 | $103.43 | |
Cigna
| Professional | $81.20 | $112.00 | $256.95 | |
Kaiser Permanente
| Professional | $83.78 | $179.91 | $179.91 | |
United
| Professional | $68.84 | $154.15 | $226.83 |