| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.67 | $144.61 | $676.60 | |
Aetna
| Professional | $57.67 | $57.67 | $61.81 | |
CareFirst
| Professional | $63.71 | $63.71 | $63.71 | |
Cigna
| Professional | $56.75 | $72.03 | $195.32 | |
Kaiser Permanente
| Professional | $58.25 | $130.36 | $130.36 | |
United
| Professional | $47.37 | $130.99 | $165.08 |