| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.69 | $296.89 | $438.78 | |
Aetna
| Professional | $110.86 | $139.05 | $270.32 | |
CareFirst
| Professional | $171.09 | $171.09 | $385.01 | |
Cigna
| Professional | $147.44 | $227.83 | $394.47 | |
Kaiser Permanente
| Professional | $183.84 | $382.17 | $382.17 | |
United
| Professional | $140.24 | $207.68 | $403.42 |