| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.06 | $163.26 | $175.82 | |
Aetna
| Professional | $70.06 | $70.06 | $169.56 | |
CareFirst
| Professional | $84.04 | $84.04 | $84.04 | |
Cigna
| Professional | $72.84 | $92.06 | $237.32 | |
Kaiser Permanente
| Professional | $74.81 | $163.71 | $163.71 | |
United
| Professional | $61.52 | $156.31 | $207.32 |