| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.99 | $74.65 | $108.24 | |
Aetna
| Professional | $55.99 | $63.45 | $129.25 | |
CareFirst
| Professional | $62.30 | $66.78 | $136.53 | |
Cigna
| Professional | $59.05 | $80.56 | $166.84 | |
Kaiser Permanente
| Professional | $83.95 | $174.02 | $174.02 | |
United
| Professional | $54.32 | $73.89 | $183.70 |