| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.47 | $178.20 | $297.41 | |
Aetna
| Professional | $92.18 | $104.47 | $223.07 | |
CareFirst
| Professional | $116.44 | $116.44 | $276.39 | |
Cigna
| Professional | $110.74 | $155.05 | $291.26 | |
Kaiser Permanente
| Professional | $138.08 | $288.83 | $288.83 | |
United
| Professional | $99.68 | $169.82 | $311.32 |