| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.02 | $142.82 | $227.80 | |
Aetna
| Professional | $59.02 | $66.89 | $142.82 | |
CareFirst
| Professional | $85.84 | $85.84 | $166.92 | |
Cigna
| Professional | $67.38 | $100.72 | $201.01 | |
Kaiser Permanente
| Professional | $87.60 | $183.23 | $183.23 | |
United
| Professional | $75.09 | $110.46 | $200.76 |